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1023622784
DANIELA MICHELLE VAN PELT
BLOOMINGTON, IL
NPI
1023622784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.022481)
Enumeration Date
2020-09-01
Last Update Date
2020-09-01
Business Address
DANIELA MICHELLE VAN PELT LCSW
702 W CHESTNUT ST
BLOOMINGTON, IL 61701-2814
Phone number: 888-924-3786
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Mailing Address
DANIELA MICHELLE VAN PELT LCSW
448 WYLIE DR
NORMAL, IL 61761-5405
Phone number: 888-924-3786
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