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Individual

MRS. LAURA C SWAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAC III

Contact information

Practice address
304 S 8TH ST, SUITE 101A, COLORADO SPRINGS, CO 80905-1829
(719) 578-5433
(719) 578-5434
Mailing address
304 S 8TH ST, SUITE 101A, COLORADO SPRINGS, CO 80905-1829
(719) 578-5433
(719) 578-5434

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1483-00
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17157528
CO
Enumeration date
01/23/2007
Last updated
09/22/2016
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