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Individual

DEBORAH SWAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DR

Contact information

Practice address
795 FARMERS LN STE 23, SANTA ROSA, CA 95405-6718
(707) 575-1468
Mailing address
795 FARMERS LN STE 23, SANTA ROSA, CA 95405-6718
(707) 575-1468

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2662
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568693315
CA
Enumeration date
11/17/2021
Last updated
01/17/2022
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