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Individual

MR. LEE SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PLADC

Contact information

Practice address
1941 S 42ND ST STE 528, NULL, OMAHA, NE 68105-2996
(402) 504-3242
(402) 504-3882
Mailing address
2118 S 43RD ST, OMAHA, NE 68105-2802
(402) 504-3242
(402) 504-3882

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1440
NE

Other

Enumeration date
03/28/2017
Last updated
03/29/2017
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