Individual
MR. DANNY LEE CORRELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
3520 TOWER AVE, TWIN PORTS VA OUTPATIENT CLINIC, SUPERIOR, WI 54880-5335
(715) 398-2943
Mailing address
3126 BAXTER AVE, SUPERIOR, WI 54880-5500
(218) 260-7035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7105-123
WI
Other
Enumeration date
06/10/2006
Last updated
07/08/2007
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