Individual
NORVETTA NAOMI VICTORIA STEWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 N GRATZ ST, PHILADELPHIA, PA 19121-4125
(267) 928-7304
Mailing address
1524 N GRATZ ST, PHILADELPHIA, PA 19121-4125
(267) 928-7304
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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