| Swan Expressive Therapies | |
|
6731 Youngstown Ave Baltimore MD 21222-1026 | |
| (443) 326-5041 | |
| Not Available |
| Full Name | Swan Expressive Therapies |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6731 Youngstown Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Mara Rita Swan (LICENSED CLINICAL PROF COUNSELOR) |
| Authorized Official Contact | 4433265041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swan Expressive Therapies 260 Gateway Dr Building 1 Suite 15b Bel Air MD 21014-4268 Ph: (443) 326-5041 | Swan Expressive Therapies 6731 Youngstown Ave Baltimore MD 21222-1026 Ph: (443) 326-5041 |
| NPI Number | 1720271539 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 08/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720271539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC 1896 (Maryland) | Primary |
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