Provider Information for 1689145617
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DANIELLE CAROL ZAVALA MSW
Sex: Female
NPI: 1689145617
Last Updated: 2018-12-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1689145617 | ||||||||
| Enumeration Date | 2018-12-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 102 E MAIN ST STE 400 URBANA, IL 61801-2734 United States Phone: 217-954-8167 | Fax: | ||||||||
| Primary Practice Address | 102 E MAIN ST STE 400 URBANA, IL 61801-2734 United States Phone: 217-954-8167 | Fax: | ||||||||
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