Individual
MR. HAROLD KENNETH DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1716 HARTFORD ST, LAFAYETTE, IN 47904-2138
(317) 985-0006
Mailing address
1716 HARTFORD ST, LAFAYETTE, IN 47904-2138
(765) 742-1567
(765) 429-2700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011086A
IN
Other
Enumeration date
10/18/2022
Last updated
07/29/2024
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