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Organization
SWAN'S THERAPEUTIC SERVICES PLLC
Active
Organization
SWAN'S THERAPEUTIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DISHEMA S. SHULER LCSW (CLINICAL DIRECTOR)
(336) 456-9907
Entity
Organization
Contact information
Practice address
136 MANGUM CIR, MOORESVILLE, NC 28117-6916
(803) 290-3081
Mailing address
136 MANGUM CIR, MOORESVILLE, NC 28117-6916
(803) 290-3081
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C008432
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982026282
—
NC
Enumeration date
01/06/2014
Last updated
10/29/2020
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