Individual
ANDREA JEAN SWAYZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1242 HAILEY ST, WEST MELBOURNE, FL 32904-8210
(321) 953-2195
Mailing address
1242 HAILEY ST, WEST MELBOURNE, FL 32904-8210
(321) 953-2195
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8519
FL
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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