Individual
MR. DANIEL LLOYD SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 297-3605
(254) 297-5346
Mailing address
9108 MONARCH DR, WACO, TX 76712-8739
(254) 297-3605
(254) 297-5346
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S16797
TX
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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