Individual
MRS. IDA S SWIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2400 HOSPITAL ROAD, BLDG. 4 ROOM 303, TUSKEGEE, AL 36083
(334) 727-0550
Mailing address
716 HERITAGE HILL RD, TUSKEGEE, AL 36083-5713
(334) 727-7489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1544G
AL
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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