Individual
MARISSA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA, CF-SLP
Contact information
Practice address
1001 LAURENCE AVE STE E, JACKSON, MI 49202-2980
(517) 750-4777
Mailing address
1001 LAURENCE AVE STE E, JACKSON, MI 49202-2980
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
MI
235Z00000X
Speech-Language Pathologist
Primary
715001797
MI
Other
Enumeration date
03/03/2020
Last updated
08/12/2020
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