Provider Demographics
NPI:1801624051
Name:WINSLOW, DANIELLE MARIE (LLMSW)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MARIE
Last Name:WINSLOW
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45200 BRUNSWICK DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-1806
Mailing Address - Country:US
Mailing Address - Phone:734-377-7326
Mailing Address - Fax:
Practice Address - Street 1:40500 ANN ARBOR RD E STE 200A
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-4498
Practice Address - Country:US
Practice Address - Phone:734-408-1149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical