Individual
DIANE SWOPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3517 N VICTOR RD, PRESCOTT VALLEY, AZ 86314-8437
(928) 848-7861
Mailing address
3517 N VICTOR RD, PRESCOTT VALLEY, AZ 86314-8437
(928) 848-7861
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
BH4548
AZ
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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