Individual
DESIREE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 RIVERSIDE DR, EAST HARTFORD, CT 06118-1837
(860) 508-6013
Mailing address
23 SPICE BUSH LN, BLOOMFIELD, CT 06002-1677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008001955
—
CT
Enumeration date
09/04/2019
Last updated
09/23/2019
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