Provider Information for 1649824491
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DANIELLE D COX LCSW
Sex: Female
NPI: 1649824491
Last Updated: 2023-11-27
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
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| NPI | 1649824491 | ||||||||||||||
| Enumeration Date | 2019-07-30 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 800 E 55TH ST CHICAGO, IL 60615-4906 United States Phone: 773-702-0660 | Fax:773-834-3756 | ||||||||||||||
| Primary Practice Address | 800 E 55TH ST CHICAGO, IL 60615-4906 United States Phone: 773-702-0660 | Fax:773-834-3756 | ||||||||||||||
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