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Individual

DR. KRISTA SWANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, MA

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
17121
CA
103TC0700X
Clinical Psychologist
Primary
4255
CO

Other

Enumeration date
08/21/2019
Last updated
08/21/2019
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