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Individual

MR. GARY A SWANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
66 CHAPMAN ST, SUITE E, DAMARISCOTTA, ME 04543-4614
(207) 563-3022
(207) 563-3022
Mailing address
25 CLARENDON ST, ROCKLAND, ME 04841-3503
(207) 594-0226

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1868
ME

Other

Enumeration date
09/07/2006
Last updated
07/09/2007
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