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Individual

LISA V STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
9217 MICHAELS LN, MARCY, NY 13403-3226
(315) 865-6062
Mailing address
9217 MICHAELS LN, MARCY, NY 13403-3226
(315) 865-6062

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
002969-1
NY

Other

Enumeration date
06/18/2009
Last updated
06/18/2009
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