Individual
MR. JESSE CHARLES SWINSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Mailing address
731 COOPER LANDING RD, CHERRY HILL, NJ 08002-1718
(609) 923-2668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S96054006303922
NJ
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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