Joseph Scott Swanstrom, LICSW Valid NPI
Individual provider · Clinical Social Worker · Fort Gordon, GA
- NPI
- 1710083076
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 14493 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-09-15
- Last updated
- 2015-07-09
Practice location
300 East Hospital Road
Fort Gordon, GA 30905-5650
(760) 787-8088