Individual
TYNEA JANTRESE SWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47 PARK ROAD, STE 1, PLEASANT GROVE, AL 35127-1963
(205) 920-1802
Mailing address
PO BOX 52, DOLOMITE, AL 35061-0052
(205) 920-1802
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C3378A
AL
Other
Enumeration date
04/18/2022
Last updated
05/06/2025
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