Justin W Swanson, LICSW
NPI #1053974865 in Mendota Heights, Minnesota
Provider Information
- NPI Number
- 1053974865
- Entity Type
- Individual
- Name
- Justin W Swanson, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Apr 17, 2019
- Last Updated
- Apr 17, 2019
Practice Location
- Address
- 750 S PLAZA DR STE 100
- City
- Mendota Heights
- State
- Minnesota
- ZIP Code
- 55120-1505
- Phone
- (612) 227-9014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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