Individual
MRS. DANIELLE CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1200 CLARK AVE, LEBANON, MO 65536
(417) 657-6002
Mailing address
26650 SUNSHINE LN, LAQUEY, MO 65534-7701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017018728
MO
235Z00000X
Speech-Language Pathologist
5475
TN
235Z00000X
Speech-Language Pathologist
LL60848174
WA
Other
Enumeration date
09/22/2015
Last updated
07/26/2018
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