Individual
CHRISTINE ELLEN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRIF CRS
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
11689
PA
175T00000X
Peer Specialist
Primary
11689
PA
Other
Enumeration date
08/24/2018
Last updated
07/25/2019
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