Individual
MS. DANETTE NORMAN TILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MSW, LCSW
Contact information
Practice address
503 E FORT WAYNE ST, WARSAW, IN 46580-3338
(574) 267-2906
Mailing address
600 BISCAYNE AVE, WARSAW, IN 46580-1213
(574) 267-7688
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004690A
IN
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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