Individual
DEBRA ANN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 E 72ND ST, CHICAGO, IL 60619-1511
(773) 407-7558
Mailing address
1501 E 72ND ST, CHICAGO, IL 60619-1511
(773) 407-7558
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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