Swanson, Justin W

Swanson, Justin W is an sole proprietor health care provider with primary practice located at 750 S Plaza Dr Ste 100 , Mendota Heights MN 55120-1505. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Swanson, Justin W can be contacted via phone (612) 227-9014.

Contact Information

Primary practice address
750 S Plaza Dr Ste 100 Mendota Heights MN 55120-1505
Phone: (612) 227-9014
Fax: (651) 455-1385
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 22271 Minnesota

Profile Details

NPI number 1053974865
LBN Legal business name Swanson, Justin W
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2019
Last updated Apr 17th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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