Individual
CASEY STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4380 NORTH AVE, MODESTO, CA 95358-9799
(209) 581-3874
Mailing address
4380 NORTH AVE, MODESTO, CA 95358-9799
(209) 581-3874
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/07/2016
Last updated
02/08/2017
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