Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 6801095929 | MI |
N | 1041C0700X | Clinical Social Worker | 16822 | MN |
NPI | 1003182288 |
---|---|
Provider Name | Danielle Tencate-Cole |
First Address | Ann Arbor, MI 48103-9026 |
Second Address | Ann Arbor, MI 48103-9026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2012 |
Last Update Date | 18/08/2021 |