Individual
CARL SWANSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
27121 174TH PL SE STE 100, COVINGTON, WA 98042-4939
(253) 638-8547
Mailing address
27121 174TH PL SE STE 100, COVINGTON, WA 98042-4939
(253) 638-8547
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00000730
WA
Other
Enumeration date
12/27/2006
Last updated
03/24/2010
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