Individual
DONALD ROBERT DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
500 RIVERVIEW AVE, WAUKESHA, WI 53188-3632
(262) 548-7704
(262) 548-7643
Mailing address
500 RIVERVIEW AVE., WAUKESHA, WI 53188
(262) 548-7704
(262) 548-7643
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1151-123
WI
Other
Enumeration date
11/28/2006
Last updated
08/02/2007
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