Individual
EMMA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
922 WASHINGTON AVE, DIXON, IL 61021-1254
(815) 994-4129
Mailing address
119 GOLD ST, NEW BEDFORD, IL 61346-1009
(630) 299-6922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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