Individual
MR. DANIEL SHAWN AYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
211 E SIX FORKS RD, STE105, RALEIGH, NC 27609-7745
(919) 368-3172
Mailing address
7833 MELCOMBE WAY, WAKE FOREST, NC 27587-5325
(919) 556-5787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004952
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140GW
BLUE CROSS BLUE SHIELD NC
NC
01
—
369322
MHN
NC
05
—
6003399
—
NC
Enumeration date
08/31/2006
Last updated
11/14/2012
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