Individual
MS. DENISE M. DANCULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 390-3690
(904) 858-3885
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419704492A
—
GA
05
—
890751000
—
FL
Enumeration date
08/10/2006
Last updated
09/12/2011
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