Individual
MR. JOHN ANTHONY DAANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081
(920) 457-4461
(920) 459-1483
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3173-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32718000
—
WI
Enumeration date
08/20/2006
Last updated
07/09/2007
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