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Individual

SHAWN ERIC SWAFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ALC

Contact information

Practice address
4820 UNIVERSITY DR NW, HUNTSVILLE, AL 35816-1867
(256) 850-4091
Mailing address
4820 UNIVERSITY DR NW STE 13, HUNTSVILLE, AL 35816-1867
(256) 850-4091

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04401
AL

Other

Enumeration date
06/12/2023
Last updated
06/12/2023
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