Individual
MRS. NICOLE LANE SWANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MEDICAL DR, DOTHAN, AL 36303-6903
(334) 899-4333
(334) 702-1944
Mailing address
138 LAKESIDE DR, DOTHAN, AL 36301-9438
(334) 790-0792
(334) 702-1944
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3193
AL
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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