Provider Demographics
NPI:1316660293
Name:MILLAY, DANI MAE CANO (MSW, LSWAIC)
Entity type:Individual
Prefix:
First Name:DANI MAE
Middle Name:CANO
Last Name:MILLAY
Suffix:
Gender:F
Credentials:MSW, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29809 118TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-2009
Mailing Address - Country:US
Mailing Address - Phone:253-397-5659
Mailing Address - Fax:
Practice Address - Street 1:301 NE 100TH ST STE 101
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-8006
Practice Address - Country:US
Practice Address - Phone:253-397-5659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical