Individual
DANIEL GEORGE WAITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
430 N LARCH ST, LANSING, MI 48912-1266
(423) 329-9366
Mailing address
7733 MAPLE LN, OWOSSO, MI 48867-9209
(423) 329-9366
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
6851116194
MI
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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