Individual
MR. LARRY KENNETH DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1450A
AL
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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