Individual
MR. HALBERT WESLEY SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 HIGH ST STE 230, SPRINGFIELD, MA 01105-1435
(413) 495-1500
Mailing address
1065 LIBERTY ST, SPRINGFIELD, MA 01104-1149
(413) 204-7973
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/30/2015
Last updated
08/31/2020
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