Individual
BRENDAN I STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 MADISON ST APT H3, NORWALK, CT 06854-2922
(678) 464-0213
Mailing address
15 MADISON ST APT H3, NORWALK, CT 06854-2922
(678) 464-0213
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
CT
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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