Provider Demographics
NPI:1013317130
Name:DASKO, DANIELLE K
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:K
Last Name:DASKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1043 INDIANA ST UNIT 301
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-2915
Mailing Address - Country:US
Mailing Address - Phone:630-310-9047
Mailing Address - Fax:
Practice Address - Street 1:1043 INDIANA ST UNIT 301
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2915
Practice Address - Country:US
Practice Address - Phone:630-310-9047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator