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Individual

SHARON PATRICIA SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
7272 WURZBACH RD, SUITE 601, SAN ANTONIO, TX 78240-4801
(210) 615-8880
Mailing address
7272 WURZBACH RD, SUITE 601, SAN ANTONIO, TX 78240-4801
(210) 615-8880

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31777
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148550001
TX
05
148550002
TX
01
217764226
DOMHA MCR
MO
01
5A572
DOMHA MCR
AR
05
OVN3513
VT
Enumeration date
08/02/2006
Last updated
04/25/2008
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