Provider Information for 1053505305
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Mrs. DANIELLE CELESTE DOSKOCIL MSW, MHS, CRC, LPC
Other Names:Former Name:Miss DANIELLE CELESTE MALO MSW, MHS, CRC, LPCSex: Female
NPI: 1053505305
Last Updated: 2007-08-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1053505305 | ||||||||
| Enumeration Date | 2007-08-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4802 ALDERSBROOK DR MONROE, NC 28110-5639 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 700 E STONEWALL ST 7TH FLOOR, SUITE 704 CHARLOTTE, NC 28202-2778 United States Phone: 407-592-7847 | Fax: | ||||||||
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