Individual
LAURA FAE SWAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 W 95TH ST STE 207, OVERLAND PARK, KS 66212-3240
(913) 642-6151
Mailing address
1178 MEADOW BRIDGE LN, ARRINGTON, TN 37014-9108
(816) 260-1812
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201135240A
—
KS
Enumeration date
08/02/2018
Last updated
08/02/2018
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