Individual
MADISON JEAN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4113 BIRNEY AVE, MOOSIC, PA 18507-1301
(570) 489-5561
Mailing address
1602 SUMMIT POINTE APT 1602, SCRANTON, PA 18508-1035
(570) 878-8092
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/24/2021
Last updated
10/24/2021
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