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Individual

JODY SWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1560 BETTY CT, MCKINLEYVILLE, CA 95519-4405
(971) 300-1202
Mailing address
655 F ST STE A, ARCATA, CA 95521-6366
(971) 300-1202

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109129
CA

Other

Enumeration date
09/21/2020
Last updated
01/04/2024
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