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NPI Code Detail

MEDICARE: MARY ELIZABETH SWIERINGA LCSW-C

MEDICARE: MARY ELIZABETH SWIERINGA LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLC2251MD

General Provider Information

NPI Number : 1922021658
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ELIZABETH SWIERINGA LCSW-C
Provider Business Mailing Address
First Line : 6045 SOLOMONS ISLAND RD
Second Line :
City : HUNTINGTOWN
State : MD
Zip : 20639-8876
Country : US
Telephone Number : 410-257-5200
Fax Number : 410-257-2442
Provider Business Practice Location Address
First Line : 6045 SOLOMONS ISLAND RD
Second Line :
City : HUNTINGTOWN
State : MD
Zip : 20639-8876
Country : US
Telephone Number : 410-257-5200
Fax Number : 410-257-2442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/08/2007

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Directions to “ MARY ELIZABETH SWIERINGA LCSW-C” Practice Location

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