Individual
MISTI M SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1104 W 10TH ST, MERRILL, WI 54452-2903
(414) 737-1590
Mailing address
1104 W 10TH ST, MERRILL, WI 54452-2903
(414) 737-1590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7959-123
WI
Other
Enumeration date
11/29/2012
Last updated
07/31/2014
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