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Individual

TIMOTHY D DANIELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW, BSRC, RRT, RCP

Contact information

Practice address
1907 IDAHO AVE, DALLAS, TX 75216-2027
(214) 418-9237
Mailing address
1907 IDAHO AVE, DALLAS, TX 75216-2027
(214) 418-9237

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
68526
TX

Other

Enumeration date
07/07/2020
Last updated
07/07/2020
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