Individual
AMELIA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
259 E ERIE ST STE 2400, CHICAGO, IL 60611
(312) 695-7269
Mailing address
676 N SAINT CLAIR ST STE 1845, CHICAGO, IL 60611-2958
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.009822
IL
103T00000X
Psychologist
10474
MA
103T00000X
Psychologist
—
—
Other
Enumeration date
03/17/2014
Last updated
08/29/2018
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