Organization
SWAIN THERAPY & COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA A. SWAIN MA (CEO, DEVELOPMENTAL THERAPIST)
(708) 790-1457
Entity
Organization
Contact information
Practice address
14731 ELLIS AVE, DOLTON, IL 60419-2213
(708) 790-1457
(708) 841-0129
Mailing address
PO BOX 2365, CALUMET CITY, IL 60409-8365
(708) 790-1457
(708) 841-0129
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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