1316660293 NPI number — DANI MAE CANO MILLAY MSW, LSWAIC

Table of content: DANI MAE CANO MILLAY MSW, LSWAIC (NPI 1316660293)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316660293 NPI number — DANI MAE CANO MILLAY MSW, LSWAIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MILLAY
Provider First Name:
DANI MAE
Provider Middle Name:
CANO
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW, LSWAIC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316660293
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/26/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
29809 118TH AVE SE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUBURN
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98092-2009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-397-5659
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
301 NE 100TH ST STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98125-8006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-397-5659
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/26/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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