Individual
MR. DANIEL WALTER SLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2810 HEINZ CAMP RD, ELLWOOD CITY, PA 16117-7702
(724) 924-2708
Mailing address
2810 HEINZ CAMP RD, ELLWOOD CITY, PA 16117-7702
(724) 924-2708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06101
IA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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