Individual
STACEY ANN SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PLMHP
Contact information
Practice address
1700 14TH AVE, NEBRASKA CITY, NE 68410-1146
(402) 216-0561
(866) 733-2530
Mailing address
1700 14TH AVE, NEBRASKA CITY, NE 68410-1146
(402) 216-0561
(866) 733-2530
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9243
NE
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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