Individual
DANIELLE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CLINICAL
Contact information
Practice address
129 NEWMAN ST, EAST TAWAS, MI 48730-1209
(989) 310-5100
(989) 310-5101
Mailing address
886 MONUMENT RD, TAWAS CITY, MI 48763-9280
(757) 339-7069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801104898
MI
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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