Individual
ALLEN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2669 ENTERPRISE RD, ORANGE CITY, FL 32763-8217
(321) 972-8236
Mailing address
2669 ENTERPRISE RD, ORANGE CITY, FL 32763-8217
(321) 499-7428
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI7213
FL
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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