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Individual

TERA LINDSEY SWANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
246 NORTHLAND DR STE 200A, MEDINA, OH 44256
(330) 725-9195
Mailing address
246 NORTHLAND DR STE 200A, MEDINA, OH 44256-3440
(330) 725-9195

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
M.170083-TRNE
OH
106H00000X
Marriage & Family Therapist
M.170083-TRNE
OH
106H00000X
Marriage & Family Therapist
Primary
M.1800093
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0303804
OH
Enumeration date
07/24/2018
Last updated
02/27/2020
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