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Organization
SWN THERAPY LLC
Active
Organization
SWN THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9797
Entity
Organization
Contact information
Practice address
3001 FULLER AVE NE STE 1, GRAND RAPIDS, MI 49505-3204
(616) 426-2328
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
04/11/2024
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