Kelley Lynn Swanson

NPI #1053168898 in Bridgeport, Michigan

Provider Information

NPI Number
1053168898
Entity Type
Individual
Name
Kelley Lynn Swanson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Apr 30, 2024
Last Updated
Apr 30, 2024

Practice Location

Address
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
ZIP Code
48722-9655
Phone
(989) 401-1239

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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