Provider Demographics
NPI:1558514430
Name:DEALE, ERIN (BSW)
Entity Type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:
Last Name:DEALE
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 W GRAND RIVER AVE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-8201
Mailing Address - Country:US
Mailing Address - Phone:517-545-0540
Mailing Address - Fax:517-545-0536
Practice Address - Street 1:2810 W GRAND RIVER AVE
Practice Address - Street 2:SUITE 700
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-8201
Practice Address - Country:US
Practice Address - Phone:517-545-0540
Practice Address - Fax:517-545-0536
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker