Individual
MARJORIE SWOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
300 HILLMONT AVE, VENTURA, CA 93003-1651
(805) 644-1374
Mailing address
300 HILLMONT AVE, VENTURA, CA 93003-1651
(805) 644-1374
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT11541
CA
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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