Shavon Swain, LICSW

NPI #1093330805 in Crystal, Minnesota

Provider Information

NPI Number: 1093330805
Entity Type: Individual
Name: Shavon Swain, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Jun 8, 2020
Last Updated: Jun 8, 2020

Practice Location

Address: 6721 VALLEY PL
City: Crystal
State: Minnesota
ZIP Code: 55427-2266
Phone: (763) 587-5104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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