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Individual

SAMANTHA ANN SWENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, NCC

Contact information

Practice address
107 E MONUMENT AVE, KISSIMMEE, FL 34741-5761
(407) 930-4711
(866) 255-1576
Mailing address
4500 SILVER KNIGHT WAY # 33-106B, ORLANDO, FL 32817-8321
(507) 382-8006

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
16048
FL
106H00000X
Marriage & Family Therapist
Primary
2731
FL

Other

Enumeration date
06/05/2017
Last updated
06/05/2017
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