Swan, Brooke
Swan, Brooke is an sole proprietor health care provider with primary practice located at 302 Cherry Ln Ste 101 , Manteca CA 95337-4311. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Swan, Brooke can be contacted via phone (209) 647-6200.Contact Information
Primary practice address
302 Cherry Ln Ste 101
Manteca CA 95337-4311
Phone: (209) 647-6200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1457999088 |
---|---|
LBN Legal business name | Swan, Brooke |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 13th, 2019 |
Last updated | Mar 7th, 2022 - about 2 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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