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NPI Code Detail

MEDICARE: MARISA SWAIN

MEDICARE: MARISA SWAIN
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
1106H00000XMarriage & Family Therapist125330CA

General Provider Information

NPI Number : 1922553650
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISA SWAIN
Provider Business Mailing Address
First Line : 133 LAS PALMAS AVE
Second Line :
City : VALLEJO
State : CA
Zip : 94589-2644
Country : US
Telephone Number : 510-556-4544
Fax Number :
Provider Business Practice Location Address
First Line : 133 LAS PALMAS AVE
Second Line :
City : VALLEJO
State : CA
Zip : 94589-2644
Country : US
Telephone Number : 510-556-4544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2016
Last Update Date : 06/26/2023

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Directions to “ MARISA SWAIN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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