Individual
ELENA STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
1443 7TH AVE, SAN FRANCISCO, CA 94122-3702
(415) 242-8034
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
05/15/2019
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