Provider Demographics
NPI:1992990675
Name:SWETLOW, TRACY MAE
Entity type:Individual
Prefix:MS
First Name:TRACY
Middle Name:MAE
Last Name:SWETLOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 TWINBROOK PKWY
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20851-1400
Mailing Address - Country:US
Mailing Address - Phone:301-838-4101
Mailing Address - Fax:301-315-8331
Practice Address - Street 1:751 TWINBROOK PKWY
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20851-1400
Practice Address - Country:US
Practice Address - Phone:301-838-4101
Practice Address - Fax:301-315-8331
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional