Organization
FITNESS N MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNE SWANSON ED.D. (OWNER)
(206) 473-2228
Entity
Organization
Contact information
Practice address
1420 COUNTRYSIDE LN, BROOKFIELD, WI 53045-5458
(206) 473-2228
Mailing address
1420 COUNTRYSIDE LN, BROOKFIELD, WI 53045-5458
(206) 473-2228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
11/13/2018
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