Individual
GLORIA PATRICIA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC SLP
Contact information
Practice address
309 HOMEWOOD CT, CLOVERDALE, CA 95425-4435
(707) 894-7882
Mailing address
309 HOMEWOOD CT, CLOVERDALE, CA 95425-4435
(707) 894-7882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP13049
CA
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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