Individual
VINCENT SWAIN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 MILLER AVE, SUITE 100, ANN ARBOR, MI 48103-3385
(734) 821-0216
(734) 821-0218
Mailing address
6633 STONY CREEK RD, YPSILANTI, MI 48197-6609
(734) 485-8725
(734) 485-6103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-00972
MI
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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