Individual
KELLY JEAN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CRYSTAL COVE AVE UNIT 1, WINTHROP, MA 02152-2552
(857) 201-9571
Mailing address
32 CRYSTAL COVE AVENUE, UNIT 1, WINTHROP, MA 02152
(857) 201-9571
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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