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Individual

BATHSHEBA SWAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2217 43RD ST, PENNSAUKEN, NJ 08110
(609) 332-6862
Mailing address
2217 43RD ST, PENNSAUKEN, NJ 08110-2129
(609) 332-6862

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
NJ

Other

Enumeration date
02/11/2016
Last updated
02/11/2016
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