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Provider Information for 1518258771


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JENNIFER M SWANGER LMSW


Other Names:  
Former Name: 
JENNIFER M SLOSSER

Sex: Female

NPI: 1518258771
Last Updated: 2024-11-20
Certification Date: 2024-11-20

Details

NameValue
NPI1518258771
Enumeration Date2011-04-22
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 579 SANDS ST
PENTWATER, MI 49449-9548
United States

Phone: 616-893-0054 | Fax:
 
Primary Practice Address 101 S JAMES ST STE 204
LUDINGTON, MI 49431-2166
United States

Phone: 231-233-3111 | Fax:231-410-1014
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalMI6801098471
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)
No 1041C0700X - Social Worker - ClinicalFLISW6530