Individual
DANIEL SLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1324 LAKE DR SE STE 8, GRAND RAPIDS, MI 49506-1673
(616) 706-5084
Mailing address
1243 CALVIN AVE SE, GRAND RAPIDS, MI 49506-3209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801102247
MI
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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