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NPI Code Detail

MEDICARE: MONIQUE SWAN

MEDICARE:   MONIQUE  SWAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1390200000XOTHERCAORGANIZED HEALTH CARE EDUACATION/TRAINING

General Provider Information

NPI Number : 1336628619
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE SWAN
Provider Business Mailing Address
First Line : 1556 S SULTANA AVE
Second Line :
City : ONTARIO
State : CA
Zip : 91761-4238
Country : US
Telephone Number : 909-418-6937
Fax Number : 909-418-6937
Provider Business Practice Location Address
First Line : 393 E WALNUT ST
Second Line :
City : PASADENA
State : CA
Zip : 91188-0001
Country : US
Telephone Number : 833-511-0106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2018
Last Update Date : 02/26/2026

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Directions to “ MONIQUE SWAN ” Practice Location

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