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1952894529
SHELLEY SWAN
DAVENPORT, IA
NPI
1952894529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IL 1-17-27368)
Enumeration Date
2018-06-08
Last Update Date
2018-06-08
Business Address
SHELLEY SWAN BCBA
4959 UTICA RIDGE RD
DAVENPORT, IA 52807-3063
Phone number: 888-228-8476
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Mailing Address
SHELLEY SWAN BCBA
509 E 14TH AVENUE CT
COAL VALLEY, IL 61240-9130
Phone number: 181-591-2255
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