Individual
MR. DAVID A SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00390
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002224
BLUE CHIP PROVIDER #
RI
01
—
30329-7
BLUE SHIELD PROVIDER #
RI
Enumeration date
05/17/2006
Last updated
06/25/2015
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