Provider Information for 1336212661
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Ms. DANAE GANOS MSW, LCSW
Other Names:Former Name:Miss DANAE STRAINSex: Female
NPI: 1336212661
Last Updated: 2016-02-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1336212661 | ||||||||
| Enumeration Date | 2006-11-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4314 MARKET ST CRYSTAL LAKE, IL 60012-2810 United States Phone: 847-679-1551 | Fax:815-356-6445 | ||||||||
| Primary Practice Address | 275 STONEGATE RD UNIT K ALGONQUIN, IL 60102-5614 United States Phone: 847-791-5514 | Fax:815-356-6445 | ||||||||
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