Individual
GARY SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2607 N GRANDVIEW BLVD, SUITE 104, WAUKESHA, WI 53188-1686
(262) 446-9981
(262) 446-9983
Mailing address
3900 W BROWN DEER RD, SUITE 200, BROWN DEER, WI 53209-1220
(414) 540-2170
(414) 540-2171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15662-131
WI
1041C0700X
Clinical Social Worker
Primary
8083-123
WI
Other
Enumeration date
01/24/2014
Last updated
03/25/2015
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