Individual
DR. KEITH WALLACE SWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
790 GILPIN ST, DENVER, CO 80218-3634
(303) 547-7397
Mailing address
790 GILPIN ST, DENVER, CO 80218-3634
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2584
CO
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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