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1265194567
MICAH DANIEL
DES MOINES, IA
NPI
1265194567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 107422)
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
MICAH DANIEL
808 5TH AVE
DES MOINES, IA 50309-1307
Phone number: 515-244-2267
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Mailing Address
MICAH DANIEL
808 5TH AVE
DES MOINES, IA 50309-1307
Phone number: 515-244-2267
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