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Provider Information for 1922520055


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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REBECCA JOY SWINDLE


Sex: Female

NPI: 1922520055
Last Updated: 2019-07-01
Certification Date:

Details

NameValue
NPI1922520055
Enumeration Date2017-07-11
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 18 N FORGE ST
AKRON, OH 44304-1317
United States

Phone: 330-762-0591 | Fax:
 
Primary Practice Address 18 N FORGE ST
AKRON, OH 44304
United States

Phone: 330-762-0591 | Fax:
 
Secondary Practice Address(es)

1341 MARKET AVE N
CANTON, OH 44714-2605
United States

Phone: 330-453-8252 | Fax:330-452-4655
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 104100000X - Social Worker MSM9061
No 104100000X - Social Worker MI6801101137
Yes 104100000X - Social Worker OHS.1701031