| Kelly Swartz, Licsw, Plc | |
|
144 Knight Ln Apt 307 Williston VT 05495-9315 | |
| (203) 988-4429 | |
| Not Available |
| Full Name | Kelly Swartz, Licsw, Plc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 144 Knight Ln Apt 307, Williston, Vermont |
| Authorized Official Name and Position | Kelly Swartz (OWNER) |
| Authorized Official Contact | 2039884429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Swartz, Licsw, Plc 144 Knight Ln Apt 307 Williston VT 05495-9315 Ph: (203) 988-4429 | Kelly Swartz, Licsw, Plc 144 Knight Ln Apt 307 Williston VT 05495-9315 Ph: (203) 988-4429 |
| NPI Number | 1932938065 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932938065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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