Individual
VICTORIA SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
236 CLIFTON AVE, MINNEAPOLIS, MN 55403-3466
(651) 243-4250
(612) 464-7229
Mailing address
4003 WHITE BEAR AVE N, WHITE BEAR LAKE, MN 55110-4304
(763) 258-9955
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
29464
MN
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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