Individual
DR. MICHAEL LOUIS MIRANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.C.S.W., MSW
Contact information
Practice address
227 S MAIN ST STE 103, ELKHART, IN 46516-3185
(574) 293-2000
(574) 293-2001
Mailing address
PO BOX 2620, ELKHART, IN 46515-2620
(574) 293-2000
(574) 293-2001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005408A
IN
1041C0700X
Clinical Social Worker
SW2616
FL
Other
Enumeration date
08/17/2007
Last updated
07/21/2019
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