Individual
ERIC DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDD SERVICES
Contact information
Practice address
1104 BROAD ST, COLUMBIA, MS 39429-3112
(601) 736-0996
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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