Individual
NOVA ANNMAY SWANSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
1920 TRADD CT, DELTA BEHAVIORAL HEALTH, WILMINGTON, NC 28401-6637
(910) 343-6890
(910) 332-1233
Mailing address
1920 TRADD CT, DELTA BEHAVIORAL HEALTH, WILMINGTON, NC 28401-6637
(910) 343-6890
(910) 332-1233
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3419
NC
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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