Individual
PAUL DAVID SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
1811 SHERMAN DR STE 3, SAINT CHARLES, MO 63303-3976
(636) 493-0016
(888) 977-3461
Mailing address
3938 WYOMING ST APT A, SAINT LOUIS, MO 63116-3918
(515) 868-8419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2025009326
MO
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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