Individual
MARGO GILLIS DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
40250 HIGHWAY 190 E, SLIDELL, LA 70461-2442
(985) 690-9940
Mailing address
900 WILKINSON ST, MANDEVILLE, LA 70448-3533
(985) 624-4450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2472
LA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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