Individual
DR. MARK C DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
409 S PINE ST, VERMILLION, SD 57069-3515
(605) 624-4766
Mailing address
409 S PINE ST, VERMILLION, SD 57069-3515
(605) 624-4766
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
428
SD
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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