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Individual

HEATHER SWAIN CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
1001 CATHEDRAL ST, BALTIMORE, MD 21201-5403
(410) 837-2050
(410) 837-7793
Mailing address
1001 CATHEDRAL ST, BALTIMORE, MD 21201-5403
(410) 837-2050
(410) 837-7793

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12927
MD
1041C0700X
Clinical Social Worker
Primary
12927
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132190100
MD
Enumeration date
07/26/2006
Last updated
08/30/2010
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