Individual
KIMBERLY ANN SWANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
250 S MCCORMICK ST, PRESCOTT, AZ 86303-4714
(928) 777-8050
Mailing address
P.O. BOX 2134, FREDERICKSBURG, TX 78624
(928) 533-8024
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4450
AZ
Other
Enumeration date
07/04/2007
Last updated
09/20/2018
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