Provider Information for 1891787867
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ELLEN O DANIELS LCSW
Sex: Female
NPI: 1891787867
Last Updated: 2015-04-27
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1891787867 | ||||||||
| Enumeration Date | 2005-08-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1700 E 38TH ST MARION, IN 46953-4568 United States Phone: 765-677-3110 | Fax: | ||||||||
| Primary Practice Address | 1700 E 38TH ST MARION, IN 46953-4568 United States Phone: 765-677-3110 | Fax: | ||||||||
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