Individual
SARA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 785-7700
Mailing address
1068 VINEWOOD ST, DETROIT, MI 48216-1429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
640101351
MI
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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