Individual
BILLIE NOELL SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-18-47448
Contact information
Practice address
4108 E LAKE SHORE DR, WONDER LAKE, IL 60097-8398
(815) 403-6806
Mailing address
4108 E LAKE SHORE DR, WONDER LAKE, IL 60097-8398
(815) 403-6806
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-47448
IL
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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