Doctor Name: | MR. THOMAS R SWENSON |
NPI Number: | 1659413334 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1254-123 |
Business Practice Address: | 206 Court St Chilton, WI - 530141127 |
Business Phone Number: | 9208491400 |
Business Fax Number: | 9208491468 |
Mailing Address: | 206 Court St, CHILTON |
State: | WI |
Postal Code: | 530141127 |
Phone Number: | 9208491400 |
Fax Number: | 9208491468 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1254-123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |