Individual
MELISSA JANE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
154 S MONROE AVE, BRADLEY, IL 60915-2514
(815) 383-4559
Mailing address
154 S MONROE AVE, BRADLEY, IL 60915-2514
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
242.003063
IL
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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