Individual
PAUL SWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 N ARIZONA AVE, PRESCOTT, AZ 86301-3104
(928) 776-8251
Mailing address
214 N ARIZONA AVE, PRESCOTT, AZ 86301-3104
(928) 776-8251
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-18989
AZ
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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