Individual
SHANNA SWEZEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1126 GATEWAY LOOP, SUITE 140, SPRINGFIELD, OR 97477
(541) 654-8107
Mailing address
1126 GATEWAY LOOP STE 140, SPRINGFIELD, OR 97477-7722
(541) 654-8107
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A5399
OR
101Y00000X
Counselor
—
—
104100000X
Social Worker
A5399
OR
1041C0700X
Clinical Social Worker
Primary
L10680
OR
372600000X
Adult Companion
—
—
Other
Enumeration date
04/06/2015
Last updated
04/08/2022
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