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Individual

DR. ETHAN SUNNY SWIFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
4501 N. CHARLES STREET, HUMANITIES, ROOM 150, BALTIMORE, MD 21210
(312) 995-0423
Mailing address
4501 N. CHARLES STREET, HUMANITIES, ROOM 150, BALTIMORE, MD 21210
(312) 995-0423

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
06886
MD

Other

Enumeration date
12/12/2017
Last updated
09/02/2022
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