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Individual

DAVID LEE SWINEHEART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LCSW

Contact information

Practice address
215 E VAN BUREN ST, SUITE 107, COLUMBIA CITY, IN 46725-2148
(260) 750-4857
Mailing address
5120 TALL TIMBER TRL, FORT WAYNE, IN 46804-4345
(260) 459-1966

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003123A
IN
106H00000X
Marriage & Family Therapist
35000640A
IN

Other

Enumeration date
05/20/2009
Last updated
05/20/2009
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