Individual
MISS ANN MARIE SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP, CAAC
Contact information
Practice address
1555 INDUSTRIAL DR, SCCMHA, OWOSSO, MI 48867-9775
(989) 723-6791
(989) 725-5061
Mailing address
PO BOX 428, 1555 INDUSTRIAL DR., OWOSSO, MI 48867-0428
(989) 723-6791
(989) 725-5061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101357
MI
103T00000X
Psychologist
Primary
6301008819
MI
Other
Enumeration date
03/30/2007
Last updated
01/30/2008
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