Individual
AQUA STEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112500
CA
1041C0700X
Clinical Social Worker
20105
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2016
Last updated
04/18/2025
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