MEDICARE: MS. MARIAH DANIELS MSW

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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1134572456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIAH DANIELS MSW

Provider Business Mailing Address
First Line	:	6500 E BETHANY PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-2731
Country	:	US
Telephone Number	:	513-602-7300
Fax Number	:

Provider Business Practice Location Address
First Line	:	6500 E BETHANY PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-2731
Country	:	US
Telephone Number	:	513-602-7300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2016
Last Update Date	:	07/21/2016

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