Individual
MS. SUSAN RAE SWIEDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1061 HARMON AVENUE, STE 1D03, FORT STEWART, GA 31314-5674
(912) 435-6349
Mailing address
1061 HARMON AVENUE, STE 1D03, FORT STEWART, GA 31314-5674
(912) 435-6349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 12011
CA
Other
Enumeration date
01/25/2006
Last updated
10/25/2010
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