Organization
MD DEVELOPMENTAL AGENCY
Active
Other names
MD Developmental AgencY
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA STEWART THERAPIST (CO-OWNER)
(773) 407-7558
Entity
Organization
Contact information
Practice address
2520 SAINT ROSE PKWY STE H2-216, HENDERSON, NV 89074-7783
(773) 407-7558
(702) 852-0430
Mailing address
2520 SAINT ROSE PKWY STE H2-216, HENDERSON, NV 89074-7783
(773) 407-7558
(702) 852-0430
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
05/20/2022
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