Individual
MRS. DANIELLE RENEE STREAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-7393
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11769
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558377887
RALPH H. JOHNSON VAMC
SC
Enumeration date
08/04/2016
Last updated
08/04/2016
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