Individual
ARIEL E SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
535 PARK AVE E, PRINCETON, IL 61356
(815) 875-4531
(815) 876-2118
Mailing address
530 PARK AVE E, PRINCETON, IL 61356-3903
(815) 875-4531
(815) 876-2119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149020435
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149020435
—
IL
Enumeration date
04/26/2019
Last updated
10/19/2020
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