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Tina Swain, MA, LPC

Counselor, Professional in Dolton, IL. Individual provider (NPI-1).

NPI number1972844934
StatusActive
Last updated in NPPESMar 14, 2013

Details

NPI
1972844934
Entity type
Individual (NPI-1)
Name
Ms. Tina Swain
Credential
MA, LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 14, 2013
Last updated
Mar 14, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional178006719ILYes

Practice location

15211 Woodlawn Ave
Dolton, IL 60419-2818

Phone 708-790-1457

Mailing address

15211 Woodlawn Ave
Dolton, IL 60419-2818

Phone 708-790-1457

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