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Individual
TERESA SWANSON
Active
Individual
TERESA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MO
101YM0800X
Mental Health Counselor
—
MO
101YP2500X
Professional Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
MO
103TF0000X
Family Psychologist
—
MO
103TH0100X
Health Service Psychologist
—
MO
171M00000X
Case Manager/Care Coordinator
—
MO
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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