Individual
MR. MARK A SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2101 ELM ST., VA MEDICAL CENTER, FARGO, ND 58102
(701) 239-3756
(701) 239-2462
Mailing address
2101 ELM ST., VA MEDICAL CENTER, FARGO, ND 58102
(701) 239-3756
(701) 239-2462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002306
ND
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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