Provider Information for 1114596012
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DANIEL BOYLE DOWNEY LCSW
Sex: Male
NPI: 1114596012
Last Updated: 2024-10-27
Certification Date: 2024-10-27
Certification Date: 2024-10-27
Details
| Name | Value | ||||||||
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| NPI | 1114596012 | ||||||||
| Enumeration Date | 2021-06-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2305 S 12TH ST SAINT LOUIS, MO 63104-4210 United States Phone: 314-410-5243 | Fax: | ||||||||
| Primary Practice Address | 2305 S 12TH ST SAINT LOUIS, MO 63104-4210 United States Phone: 314-410-5243 | Fax: | ||||||||
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