Individual
KESHAWNA SWINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COLUMBIA HWY, DOTHAN, AL 36301-1726
(816) 651-6971
Mailing address
905 BAYWOOD RD, DOTHAN, AL 36305-8423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4084
AL
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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