Individual
DUSTIN W SWANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
1101 RIDGE RD STE 132, ROCKWALL, TX 75087-4250
(469) 338-1348
Mailing address
PO BOX 831, FATE, TX 75132-0831
(469) 338-1348
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
63321 LPC
TX
Other
Enumeration date
03/29/2012
Last updated
05/04/2019
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