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Individual

MRS. MICHELLE DAWN SWANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
511 S WASHINGTON ST, PAXTON, IL 60957-1663
(217) 898-3712
Mailing address
511 S WASHINGTON ST, PAXTON, IL 60957-1663
(217) 898-3712

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
IL

Other

Enumeration date
05/21/2013
Last updated
05/21/2013
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