Individual
JESSICA RENEE SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
447 S SHARON AMITY RD STE 250, CHARLOTTE, NC 28211-2850
(704) 507-0387
(980) 498-6700
Mailing address
447 S SHARON AMITY RD STE 250, CHARLOTTE, NC 28211-2850
(704) 507-0387
(980) 498-6700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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