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Individual

MS. MARIE JOANNE KASWANDIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
175 KIMEL PARK DR, SUITE 100, WINSTON SALEM, NC 27103-6951
(336) 718-3550
(336) 277-6981
Mailing address
175 KIMEL PARK DR, SUITE 100, WINSTON SALEM, NC 27103-6951
(336) 718-3550
(336) 277-6981

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9716
NC
101YP2500X
Professional Counselor
C1751
OR

Other

Enumeration date
03/30/2007
Last updated
10/17/2016
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