Individual
DANIEL ARTHUR BURGESS
Active
Individual
DANIEL ARTHUR BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801046627
MI
1041C0700X
Clinical Social Worker
Primary
6801046627
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38 2831313
TAX ID
MI
Enumeration date
11/10/2010
Last updated
03/21/2022
Update your record
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