Individual
CARLY SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
671 HOES LN W # D325, PISCATAWAY, NJ 08854-8021
(973) 901-4080
Mailing address
33 LEONARD TER, ROSELAND, NJ 07068-3719
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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