Individual
MS. ANDREA LYNNE SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 W RIFFLE ST, WASILLA, AK 99654-0910
(907) 376-4150
Mailing address
1630 W RIFFLE ST, WASILLA, AK 99654-0910
(907) 376-4150
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
26
AK
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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