Individual
MICHAEL S. DERANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW, CSAYP
Contact information
Practice address
62226 COUNTY ROAD 15, GOSHEN, IN 46526-9438
(574) 875-5117
(574) 875-5284
Mailing address
62226 COUNTY ROAD 15, GOSHEN, IN 46526-9438
(574) 875-5117
(574) 875-5284
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33006940A
IN
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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