Lisa A Mcdaniel

NPI #1952509697 in Charleston, Illinois

Provider Information

NPI Number: 1952509697
Entity Type: Individual
Name: Lisa A Mcdaniel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Jul 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 628 14TH ST
City: Charleston
State: Illinois
ZIP Code: 61920-2203
Phone: (217) 348-1430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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