Individual
TRAVATA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 BENNETT ST, BRIDGEPORT, CT 06605-2901
(203) 330-6790
(203) 330-6756
Mailing address
170 BENNETT ST, BRIDGEPORT, CT 06605-2901
(203) 330-6790
(203) 330-6756
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3538
CT
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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