Individual
MR. DANIEL E STASI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 S 4TH ST, DEKALB, IL 60115-3735
(815) 787-0515
Mailing address
PO BOX 706, DEKALB, IL 60115-0706
(815) 787-0515
(815) 787-0505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-1234567
IL
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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