Provider Demographics
NPI:1154601714
Name:DALMAN, ANDREA L (LMSW)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:L
Last Name:DALMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48040-1444
Mailing Address - Country:US
Mailing Address - Phone:734-425-4070
Mailing Address - Fax:586-792-3061
Practice Address - Street 1:1326 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:MI
Practice Address - Zip Code:48040-1444
Practice Address - Country:US
Practice Address - Phone:734-425-4070
Practice Address - Fax:586-792-3061
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010942281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical