Individual
JEAN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 INDIAN RIVER RD, SITKA, AK 99835-7480
(907) 747-3636
Mailing address
701 INDIAN RIVER RD, SITKA, AK 99835-7480
(907) 747-3636
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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