Individual
MR. IAN MICHAEL DANIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1001 E BROAD ST, SUITE LL40, RICHMOND, VA 23219-1928
(804) 643-7226
(804) 643-3529
Mailing address
1001 E BROAD ST, SUITE LL40, RICHMOND, VA 23219-1928
(804) 643-7226
(804) 643-3529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005880
VA
Other
Enumeration date
07/19/2006
Last updated
07/09/2007
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