Individual
KYLE P SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 BUENA VISTA DR, COLVILLE, WA 99114-8676
(509) 684-4539
Mailing address
5021 NE 178TH ST, LAKE FOREST PARK, WA 98155-4534
(206) 437-2951
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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