Individual
ERICA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 LILY GREEN CT NW, CONCORD, NC 28027-2304
(980) 322-7028
Mailing address
1314 LILY GREEN CT NW, CONCORD, NC 28027-2304
(980) 322-7028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1613
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025726900
—
NE
Enumeration date
07/16/2013
Last updated
09/09/2015
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