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Individual
SHARESE A. SWAFFORD
Active
Individual
SHARESE A. SWAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LCAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001029A
IN
101YM0800X
Mental Health Counselor
Primary
39000720A
IN
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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