Provider Information for 1447991070
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JULIET JANICE DANIELS LCSW
Other Names:Former Name:JULIET JANICE SMITHSex: Female
NPI: 1447991070
Last Updated: 2024-08-22
Certification Date: 2024-08-22
Certification Date: 2024-08-22
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1447991070 | ||||||||||||
| Enumeration Date | 2022-04-06 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 34973 US HWY GRETNA, VA 24577 United States Phone: 434-485-9961 | Fax: | ||||||||||||
| Primary Practice Address | 910 S CHAPEL ST STE 102 NEWARK, DE 19713-3468 United States Phone: 302-224-1400 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 34973 US HWY | ||||||||||||
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