Individual
B STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
900 FIFTH AVENUE, SUITE 150, SAN RAFAEL, CA 94901
(415) 457-6966
Mailing address
138 FLORIBEL AVE, SAN ANSELMO, CA 94960-2215
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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