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NPI Code Detail

MEDICARE: DANIELLE SWANSON LCSW

MEDICARE:   DANIELLE  SWANSON  LCSW
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 WorkerCW018473PA

General Provider Information

NPI Number : 1376936179
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE SWANSON LCSW
Provider Business Mailing Address
First Line : PO BOX 5545
Second Line :
City : POLAND
State : OH
Zip : 44514-0545
Country : US
Telephone Number : 724-457-0858
Fax Number : 724-457-0867
Provider Business Practice Location Address
First Line : 890 BEAVER GRADE RD
Second Line : UPPER LEVEL
City : MOON TOWNSHIP
State : PA
Zip : 15108-2653
Country : US
Telephone Number : 724-457-0858
Fax Number : 724-457-0867
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2015
Last Update Date : 03/18/2015

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Directions to “ DANIELLE SWANSON LCSW” Practice Location

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