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Individual

MRS. COLIS REANESHA BAKER- STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
18232 143RD AVE, SPRINGFIELD GARDENS, NY 11413-3015
(929) 238-5895
Mailing address
18232 143RD AVE, SPRINGFIELD GARDENS, NY 11413-3015
(929) 238-5895

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105259
NY

Other

Enumeration date
10/18/2022
Last updated
10/18/2022
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