Individual
DANIEL T DESENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2002 HOGBACK RD STE 10, ANN ARBOR, MI 48105-9736
(734) 368-7819
Mailing address
2002 HOGBACK RD STE 10, ANN ARBOR, MI 48105-9736
(734) 368-7819
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801088854
MI
1041C0700X
Clinical Social Worker
Primary
6801088854
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008992490
BCBS PIN
MI
Enumeration date
02/17/2010
Last updated
12/13/2019
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