Individual
JOSEPH SCOTT SWANSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(760) 787-8088
(760) 787-8088
Mailing address
300 EAST HOSPITAL RD, FORT GORDON, GA 30905
(706) 787-8088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14493
MN
Other
Enumeration date
09/15/2006
Last updated
07/09/2015
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