Provider Demographics
NPI:1811447576
Name:STRAWSON, JOAN (MAC, LAC)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:STRAWSON
Suffix:
Gender:F
Credentials:MAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24141 KINGS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-4601
Mailing Address - Country:US
Mailing Address - Phone:910-528-9768
Mailing Address - Fax:
Practice Address - Street 1:24141 KINGS VALLEY RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-4601
Practice Address - Country:US
Practice Address - Phone:910-528-9768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02340171100000X
WV96235171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist