Individual
MS. DANIELLE MARIE BAGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1100 JORIE BLVD, OAK BROOK, IL 60523-2242
(660) 263-0974
Mailing address
5337 AVERY PL, OAK LAWN, IL 60453-1266
(708) 642-2247
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.015202
IL
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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