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NPI Code Detail

MEDICARE: DANESA DANIEL LCSW

MEDICARE:   DANESA  DANIEL  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker35097TX

General Provider Information

NPI Number : 1013953710
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANESA DANIEL LCSW
Provider Business Mailing Address
First Line : 8105 RASOR BLVD
Second Line : SUITE 259
City : PLANO
State : TX
Zip : 75024-0116
Country : US
Telephone Number : 469-850-2420
Fax Number :
Provider Business Practice Location Address
First Line : 8105 RASOR BLVD
Second Line : SUITE 259
City : PLANO
State : TX
Zip : 75024-0116
Country : US
Telephone Number : 469-850-2420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 05/04/2017

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Directions to “ DANESA DANIEL LCSW” Practice Location

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