Individual
MICAH DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
808 5TH AVE, DES MOINES, IA 50309-1307
(515) 244-2267
Mailing address
808 5TH AVE, DES MOINES, IA 50309-1307
(515) 244-2267
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
107422
IA
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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