Individual
MRS. DANIELLE NICOLE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 W ILES AVE STE C, SPRINGFIELD, IL 62704-7000
(800) 773-1682
Mailing address
401 MIDDLEBURG DR, SHERMAN, IL 62684-9603
(217) 821-0526
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.008748
IL
Other
Enumeration date
05/20/2012
Last updated
05/20/2012
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