Individual
GARY SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
5112 MACKS MTN RD, WEST DANVILLE, VT 05873-9747
(802) 424-6846
Mailing address
5112 MACKS MTN RD, WEST DANVILLE, VT 05873-9747
(802) 424-6846
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
098.0133654
VT
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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