Individual
MR. DANIEL WAYNE INGROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW LCSW
Contact information
Practice address
705 FELICIDAD, TAOS, NM 87571
(505) 737-9348
(505) 737-5844
Mailing address
PO BOX 3107, TAOS, NM 87571
(505) 758-4882
(505) 737-5844
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I 2149
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100037 VNM
VALVEOPTIONS
NM
05
—
99862
—
NM
01
—
VNM00686
VALUE OPTIONS
NM
Enumeration date
09/20/2006
Last updated
07/08/2007
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