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Organization
SWAN THERAPEUTIC SERVICES, LLC
Active
Organization
SWAN THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN ANNE COBLENTZ SWAN LSCSW (OWNER)
(816) 581-3737
Entity
Organization
Contact information
Practice address
7001 BLUE RIDGE BLVD, RAYTOWN, MO 64133-5629
(816) 966-0900
(816) 347-3029
Mailing address
529 SE 2ND ST STE D, LEES SUMMIT, MO 64063-2654
(816) 581-3737
(816) 581-3738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004032834
MO
Other
Enumeration date
02/22/2013
Last updated
12/06/2022
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