Individual
DALLAS SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
144 MAIN ST STE G, EAST HARTFORD, CT 06118-3239
(888) 754-0398
Mailing address
63 MAPLERIDGE DR, WATERBURY, CT 06705-3623
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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