Individual
DR. JENNIFER L SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
521 WESTOVER ST, OCONOMOWOC, WI 53066-3776
(262) 695-8857
(262) 695-8879
Mailing address
1420 COUNTRYSIDE LN, BROOKFIELD, WI 53045-5458
(206) 473-2228
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6562-125
WI
103T00000X
Psychologist
Primary
3634-57
WI
Other
Enumeration date
07/11/2017
Last updated
11/13/2018
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