Individual
MRS. MYRA LENORA MCSWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
442 W 9TH ST, SILER CITY, NC 27344-2419
(919) 663-3511
Mailing address
442 W 9TH ST, SILER CITY, NC 27344-2419
(919) 663-3511
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-019-050
NC
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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