Individual
ROGER PAUL SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1713 43RD AVE S, MOORHEAD, MN 56560-6999
(218) 790-4915
Mailing address
1713 43RD AVE S, MOORHEAD, MN 56560-6999
(218) 790-4915
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
MN
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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