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Individual
TAILESE SWANSON
Active
Individual
TAILESE SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELING STUDENT
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
8884
—
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
146M00000X
Intermediate Emergency Medical Technician
128292
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
08/11/2026
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