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Individual

CAMISHA V STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
829 S 12TH ST, NEWARK, NJ 07108-1307
(562) 440-3183
Mailing address
725 DAVID DR, PEN ARGYL, PA 18072-9515
(562) 440-3183

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
44SL05430900
NJ
101Y00000X
Counselor
CW022416
PA
101YM0800X
Mental Health Counselor
44SL05430900
NJ
101YM0800X
Mental Health Counselor
CW022416
PA
104100000X
Social Worker
Primary
NJ
1041C0700X
Clinical Social Worker
44SL05430900
NJ

Other

Enumeration date
08/31/2022
Last updated
08/31/2022
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