Individual
LESLIE SWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7316 33RD ST N, ST PETERSBURG, FL 33702-5540
(727) 709-1178
Mailing address
7316 33RD ST N, ST PETERSBURG, FL 33702-5540
(727) 709-1178
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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