Individual
ELIZA MARY SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
799 HUYBERT PL APT 201, VIRGINIA BEACH, VA 23462-1125
(715) 497-3799
Mailing address
799 HUYBERT PL APT 201, VIRGINIA BEACH, VA 23462-1125
(715) 497-3799
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-240010
VA
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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