Provider Demographics
NPI:1972195055
Name:FERRAN, DAWN (MSW)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:FERRAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:672 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-2312
Mailing Address - Country:US
Mailing Address - Phone:810-730-5584
Mailing Address - Fax:
Practice Address - Street 1:672 MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-2312
Practice Address - Country:US
Practice Address - Phone:810-730-5584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010357771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical