Individual
CASEY DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 VESTA RD # 81201, SALIDA, CO 81201-9327
(719) 371-6374
Mailing address
146 MESA VIEW LN, SALIDA, CO 81201-1713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09930912
CO
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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