Individual
TRACI ANNE SWIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1523 S FAIRMOUNT ST, DAVENPORT, IA 52802-3644
(563) 322-2667
Mailing address
2336 42ND AVE, ALEDO, IL 61231-8626
(563) 340-0893
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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