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Individual

ELYSE DELANE SWIHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19897 LANNING RD, FREDERICKTOWN, OH 43019-9311
(740) 501-1393
Mailing address
3070 RIVERSIDE DR # 200, COLUMBUS, OH 43221-2547
(844) 764-2309

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/03/2020
Last updated
03/03/2020
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