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NPI Code Detail

MEDICARE: DAWN SWANSON MA CCC SLP

MEDICARE: DAWN SWANSON MA CCC SLP
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
1235Z00000XSpeech-Language Pathologist6090MN

General Provider Information

NPI Number : 1366790628
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAWN SWANSON MA CCC SLP
Provider Business Mailing Address
First Line : 300 1ST AVE NW STE 200
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-2830
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 1ST AVE NW STE 200
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-2830
Country : US
Telephone Number : 507-281-3213
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DAWN SWANSON
Credential :
Telephone Number : 507-281-3213
Provider Enumeration Date : 08/16/2012
Last Update Date : 08/16/2012

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Directions to “DAWN SWANSON MA CCC SLP ” Practice Location

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