Individual
MS. AUDREY SWAYZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
220 4TH AVE E, TWIN FALLS, ID 83301-6312
(208) 736-0695
(208) 735-2482
Mailing address
2213 E 4000 N, FILER, ID 83328-5207
(208) 326-7228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-3627
ID
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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