Individual
DANIELLE GAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 S 30TH ST, SOUTH BEND, IN 46615-1813
(909) 522-7980
Mailing address
1103 S 30TH ST, SOUTH BEND, IN 46615-1813
(909) 522-7980
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007218A
IN
Other
Enumeration date
08/18/2016
Last updated
05/10/2023
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