Mr Thomas R Swenson, | |
206 Court St, Chilton, WI 53014-1127 | |
(920) 849-1400 | |
(920) 849-1468 |
Full Name | Mr Thomas R Swenson |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 206 Court St, Chilton, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659413334 | NPI | - | NPPES |
39247100 | Medicaid | WI | |
12501 | Other | WI | CADC WI CERT. BD. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1254-123 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas R Swenson, 206 Court St, Chilton, WI 53014-1127 Ph: (920) 849-1400 | Mr Thomas R Swenson, 206 Court St, Chilton, WI 53014-1127 Ph: (920) 849-1400 |
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