Organization
SWAN EXPRESSIVE THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARA RITA SWAN MA LCPC ATR-BC (LICENSED CLINICAL PROF COUNSELOR)
(443) 326-5041
Entity
Organization
Contact information
Practice address
6731 YOUNGSTOWN AVE, BALTIMORE, MD 21222-1026
(443) 326-5041
Mailing address
260 GATEWAY DR, BUILDING 1 SUITE 15B, BEL AIR, MD 21014-4268
(443) 326-5041
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC 1896
MD
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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