Individual
MR. SHANE STEPHEN MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CSWA
Contact information
Practice address
182 SW ACADEMY ST, SUITE 304, DALLAS, OR 97338-1922
(503) 623-1886
(503) 623-7560
Mailing address
182 SW ACADEMY ST, SUITE 304, DALLAS, OR 97338-1922
(503) 623-1886
(503) 623-7560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A3638
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/23/2007
Last updated
04/16/2015
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