Individual
CRYSTAL RENEE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP/L
Contact information
Practice address
14 EXETER TURN, BOURBONNAIS, IL 60914-1612
(815) 932-7872
(815) 932-7872
Mailing address
14 EXETER TURN, BOURBONNAIS, IL 60914-1612
(815) 932-7872
(815) 932-7872
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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