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Individual

MR. DANIEL PATRICK BEAGLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 693-4578
(217) 352-3797
Mailing address
3716 BALCARY BAY, CHAMPAIGN, IL 61822-2422

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/29/2013
Last updated
01/29/2013
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