Individual
SIERRA DAWN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 N MAIN ST STE 4, FAIRVIEW, OK 73737-2703
(580) 227-2088
Mailing address
1425 N MAIN ST STE 4, FAIRVIEW, OK 73737-2703
(580) 227-2088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
21212-P
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/09/2023
Last updated
11/01/2024
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