Individual
STEPHANIE J VAN SWOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4359 S HOWELL AVE, MILWAUKEE, WI 53207-5056
(262) 902-1347
Mailing address
1221 GOOLD ST, RACINE, WI 53402-4559
(262) 902-1347
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1204-140
WI
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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