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Individual

MRS. SANDY L SWORDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADCIII

Contact information

Practice address
888 THACKERAY TRL, OCONOMOWOC, WI 53066-4342
(262) 542-3255
Mailing address
888 THACKERAY TRL, OCONOMOWOC, WI 53066-4342
(262) 542-3255

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1407
WI

Other

Enumeration date
08/15/2006
Last updated
07/08/2007
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