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General NPI Number Information
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NPI Number | 1639990757
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Entity Type | Organization
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Legal Business Name | DAILEY COUNSELING
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 6975 REDANSA DR
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City | ROCKFORD
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State | IL
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Zip | 61108-1201
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Country | US
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Telephone | 815-398-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 757 E JONQUIL CT
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City | BELOIT
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State | WI
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Zip | 53511-1623
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Country | US
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Telephone | 815-520-6723
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | DANIELLE DAILEY
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Credential | LCSW
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Telephone | 815-520-6723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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