Individual
DAISIA HORNSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56100 BITTERSWEET RD, MISHAWAKA, IN 46545-7715
(574) 258-9500
Mailing address
1435 FLEMING ST, GRANGER, IN 46530-1325
(951) 203-6690
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
000010395
IN
Other
Enumeration date
06/13/2019
Last updated
01/08/2025
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