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Individual
MR. RONALD MARTIN SWAN
Active
Individual
MR. RONALD MARTIN SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
OR CO947
OR
101YM0800X
Mental Health Counselor
WA LH00004068
WA
Other
Enumeration date
08/30/2006
Last updated
10/27/2007
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