Individual
GWYNETH LACEY SWINBURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4023 KENNETT PIKE #988, WILMINGTON, DE 19807
(484) 577-9928
Mailing address
719 ALVIN AVE APT B, SALISBURY, MD 21804-5055
(401) 258-4058
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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