Individual
MS. NICOLE M. SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
111 S MERAMEC AVE, SAINT LOUIS, MO 63105-1711
(314) 615-0400
Mailing address
9416 LAVERN PL, SAINT LOUIS, MO 63123-4536
(314) 471-5208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008029731
MO
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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