Individual
MRS. KIM L SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7615 N PERRYVILLE RD, WADDELL, AZ 85355-9635
(623) 535-0078
Mailing address
7615 N PERRYVILLE RD, WADDELL, AZ 85355-9635
(623) 535-0078
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPL5471
AZ
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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