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Individual

BRIANNA SWAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(704) 799-6824
Mailing address
6516 QUAIL HOLLOW RD APT 1C, CHARLOTTE, NC 28210-1330
(252) 945-2081

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
30000508
NC
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285206151
NC
01
YPYW12605257
BLUE CROSS BLUE SHIELD
NC
Enumeration date
07/12/2021
Last updated
05/09/2025
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