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Individual

MATTHEW SWOFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LPC

Contact information

Practice address
930 PEEL CASTLE LN, AUSTELL, GA 30106-1466
(229) 630-2819
Mailing address
4015 S COBB DR SE, SUITE 10, SMYRNA, GA 30080-6303

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008257
GA

Other

Enumeration date
07/09/2015
Last updated
07/09/2015
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