Individual
BETTY DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(248) 967-7802
(586) 576-5468
Mailing address
17304 STEEL ST, DETROIT, MI 48235-1444
(248) 559-1763
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801004469
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801004469
MICHIGAN STATE LICENSE
MI
Enumeration date
07/17/2006
Last updated
09/19/2023
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