Individual
PHILLIP DANIEL SWANN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7641 HULL STREET RD STE 205, NORTH CHESTERFIELD, VA 23235-6444
(804) 728-2772
(804) 728-2771
Mailing address
7641 HULL STREET RD STE 205, NORTH CHESTERFIELD, VA 23235-6444
(804) 728-2772
(804) 728-2771
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
VA
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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