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Shaunta Ladine Swan

Developmental Therapist in Milford, MA. Individual provider (NPI-1).

NPI number1316200322
StatusActive
Last updated in NPPESAug 18, 2014

Details

NPI
1316200322
Entity type
Individual (NPI-1)
Name
Shaunta Ladine Swan
Sex
Female
Sole proprietor
No
Enumeration date
Jun 25, 2012
Last updated
Aug 18, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes
104100000X Social Worker––

Practice location

321 Fortune Blvd
Milford, MA 01757-1750

Phone 508-478-0207 · Fax 508-634-6984

Mailing address

321 Fortune Blvd
Milford, MA 01757-1750

Phone 508-478-0207 · Fax 508-634-6984

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