NPI 1316704133

Elly Swedburg, CPSS

Practitioner Peer Specialist Midvale, UT

Practice location

Address: 91 E Fort Union Blvd, Midvale, UT 84047-1531
Phone: (385) 275-6162

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1316704133
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2024
Record last updated: 28 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.