Individual
DANAE LEASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 BUCKEYE DR, VAN WERT, OH 45891-2655
(419) 238-0384
Mailing address
152 BOYD AVE, VAN WERT, OH 45891-2310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.2015230-SP
OH
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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