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Individual

DANIALLE DELOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4610A N ILLINOIS ST UNIT 132, FAIRVIEW HEIGHTS, IL 62208-3407
(719) 922-5236
Mailing address
4610A N ILLINOIS ST UNIT 132, FAIRVIEW HEIGHTS, IL 62208-3407

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17574
LA

Other

Enumeration date
08/21/2023
Last updated
12/15/2025
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