Individual
MICHELLE M MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9480 S EASTERN AVE STE 258, LAS VEGAS, NV 89123-8000
(702) 494-8085
Mailing address
50 COROLLA CT, HENDERSON, NV 89012-5567
(702) 494-8085
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5879-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982914867
—
NV
Enumeration date
10/13/2010
Last updated
06/02/2016
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