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Individual

MR. BENJAMIN WILLSON SWAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW, ICADC,CADC II

Contact information

Practice address
600 W ST NE, WASHINGTON, DC 20002-1241
(301) 613-2750
(301) 386-3521
Mailing address
9639 OXBRIDGE WAY, BOWIE, MD 20721-3035
(301) 613-2750
(301) 386-3521

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10191-502
DC
1041C0700X
Clinical Social Worker
13207
MD
1041C0700X
Clinical Social Worker
Primary
LC50078081
DC

Other

Enumeration date
08/31/2006
Last updated
10/24/2009
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