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1952509697
LISA A MCDANIEL
CHARLESTON, IL
NPI
1952509697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
-- LISA A MCDANIEL
628 14TH ST
CHARLESTON, IL 61920-2203
Phone number: 217-348-1430
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Mailing Address
-- LISA A MCDANIEL
628 14TH ST
CHARLESTON, IL 61920-2203
Phone number:
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