Individual
JESSICA L SWERSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
490 N DIAMOND AVE, CANON CITY, CO 81212-2521
(719) 275-1616
(719) 275-4619
Mailing address
702 W 1ST ST, SALIDA, CO 81201-1610
(719) 275-1616
(719) 275-4619
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12110433
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CO
Enumeration date
11/08/2011
Last updated
11/08/2011
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