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Individual

STEPHEN CRAIG SWINDELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.A.D.C. 1

Contact information

Practice address
102 APPLETON ST, LOWELL, MA 01852-2515
(978) 319-3325
(978) 459-9136
Mailing address
102 APPLETON ST, LOWELL, MA 01852-2515
(978) 319-3325
(978) 459-9136

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
978
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02261995
MA
Enumeration date
08/15/2011
Last updated
08/16/2011
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