Individual
MATTHEW ERIC SWANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10424 TIFFANY VILLAGE CT, SAINT LOUIS, MO 63123-8001
(217) 929-8651
Mailing address
10424 TIFFANY VILLAGE CT, SAINT LOUIS, MO 63123-8001
(217) 929-8651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20019005057
MO
Other
Enumeration date
04/16/2019
Last updated
10/27/2021
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