Individual
DANIEL J AYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1190 FLORIDA AVE, JOHNSTOWN, PA 15902-3905
(814) 242-0692
Mailing address
1190 FLORIDA AVE, JOHNSTOWN, PA 15902-3905
(814) 242-0692
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018066
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029736250001
—
PA
Enumeration date
04/24/2013
Last updated
04/04/2017
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