Provider Demographics
NPI:1508173097
Name:HOWARD, DANTE DORIAN (MSW)
Entity Type:Individual
Prefix:MR
First Name:DANTE
Middle Name:DORIAN
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 E FLORENCE BLVD STE G
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-4673
Mailing Address - Country:US
Mailing Address - Phone:520-836-4278
Mailing Address - Fax:
Practice Address - Street 1:900 E FLORENCE BLVD STE G
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-4673
Practice Address - Country:US
Practice Address - Phone:520-836-4278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker