Individual
KAYLA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
222 E FRONT ST, MOUNT HOREB, WI 53572-2168
(608) 716-4867
Mailing address
2532 STATE ROAD 92, MOUNT HOREB, WI 53572-2446
(608) 716-4867
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
130661-121
WI
1041C0700X
Clinical Social Worker
Primary
9300-123
WI
Other
Enumeration date
07/05/2017
Last updated
08/12/2021
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