Individual
JACK PETER SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9401 SOUTHWEST FWY, HOUSTON, TX 77074-1407
(713) 970-7000
(713) 970-7246
Mailing address
9401 SOUTHWEST FWY, HOUSTON, TX 77074-1407
(713) 970-7000
(713) 970-7246
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175769201
—
TX
Enumeration date
08/30/2006
Last updated
09/28/2016
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