Individual
MS. DIANE DAUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
15300 WEST AVE, SUITE 313, ORLAND PARK, IL 60462-4600
(708) 460-2721
Mailing address
13206 VICKY ST, PLAINFIELD, IL 60585-8413
(815) 436-1843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
041211621
IL
101YM0800X
Mental Health Counselor
209003007
IL
Other
Enumeration date
07/12/2006
Last updated
05/29/2013
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