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Individual

DR. JOHN LEROY SWANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
260 SW MADISON AVE STE 107, CORVALLIS, OR 97333-4728
(541) 752-2689
Mailing address
260 SW MADISON AVE STE 107, CORVALLIS, OR 97333-4728
(541) 752-2689

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0024
OR

Other

Enumeration date
05/19/2010
Last updated
05/19/2010
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