Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | AZ |
NPI | 1194859801 |
---|---|
Provider Name | Mr. Kevin Swearingin |
First Address | Yuma, AZ 85364-4031 |
Second Address | Yuma, AZ 85364-4031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 26/07/2007 |