Individual
DESIRAE NICHOLE DANZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S BROADWAY ST, TROTWOOD, OH 45426-3324
(937) 854-4456
Mailing address
3175 RANDALL WAY APT 14, BEAVERCREEK, OH 45431-7500
(574) 220-9555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.13401
OH
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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