Individual
MR. CAMPBELL MACKIE SWIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
36 MILLER STILE RD, QUINCY, MA 02169-5423
(908) 578-0949
Mailing address
36 MILLER STILE RD, QUINCY, MA 02169-5423
(617) 302-3487
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
042160528
MA
1041C0700X
Clinical Social Worker
Primary
225980
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801916176
—
MA
Enumeration date
09/28/2015
Last updated
11/26/2022
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