Individual
SHIRLEY SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
42 WEST HIGH ST, EAST HAMPTON, CT 06424
(860) 267-2955
(860) 633-0151
Mailing address
PO BOX 67, EAST HAMPTON, CT 06424
(860) 267-2955
(860) 633-0151
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000356
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240000356CT01
BCBS
CT
Enumeration date
09/29/2006
Last updated
07/08/2007
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