Individual
DEBRA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED CTVI
Contact information
Practice address
76 JENKINS RD, CHURCHVILLE, NY 14428-9514
(716) 989-9956
Mailing address
76 JENKINS RD, CHURCHVILLE, NY 14428-9514
(716) 989-9956
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NY
Other
Enumeration date
11/28/2018
Last updated
01/04/2026
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