Individual
ALICIA BROADWAY SWANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
541 HIGHWAY 80 W, SUITE C, CLINTON, MS 39056-4193
(601) 488-4189
(601) 488-4888
Mailing address
541 HIGHWAY 80 W, AUDITORY PROCESSING CENTER, CLINTON, MS 39056-4193
(601) 488-4189
(601) 488-4888
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0955
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00534872
—
MS
Enumeration date
10/09/2007
Last updated
10/23/2014
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