Basic Information
| Provider Information | |||||||||
| NPI: | 1538361779 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DANIELS | ||||||||
| FirstName: | DORIS | ||||||||
| MiddleName: | M. | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | L.M.S.W. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2009 E SPINNINGWHEEL LN | ||||||||
| Address2: | |||||||||
| City: | BLOOMFIELD HILLS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483041064 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2488840589 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7457 FRANKLIN RD STE 303 | ||||||||
| Address2: | |||||||||
| City: | BLOOMFIELD HILLS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483013608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2486260636 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 6801035887 | MI | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.