Individual
JEAN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
102 DYER AVE, COLLINSVILLE, CT 06019-3236
(860) 693-7777
Mailing address
PO BOX 211, CANTON, CT 06019-0211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004916
CT
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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