Individual
LISA DENISE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
1114 S DUPONT HWY, DOVER, DE 19901-4401
(302) 401-1008
Mailing address
1114 S DUPONT HWY, DOVER, DE 19901-4401
(302) 401-1008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
Q4-0010151
DE
101YA0400X
Addiction (Substance Use Disorder) Counselor
Q4-0010151
DE
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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