Individual
JULIANNE SWEDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TEACHER
Contact information
Practice address
1005 MIDWESTERN PKWY, WICHITA FALLS, TX 76302-2211
(940) 322-0771
Mailing address
1005 MIDWESTERN PKWY, WICHITA FALLS, TX 76302-2211
(940) 322-0771
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
TEA #1549866
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111408401
—
TX
05
—
111408402
—
TX
Enumeration date
03/01/2010
Last updated
03/01/2010
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