Individual
MS. JEANINE MARIE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
123 CHESTNUT ST STE 304, PHILADELPHIA, PA 19106-3059
(267) 551-0099
Mailing address
1919 BAINBRIDGE ST, PHILADELPHIA, PA 19146-1430
(206) 390-1183
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW136681
PA
1041C0700X
Clinical Social Worker
Primary
CW022639
PA
Other
Enumeration date
01/20/2021
Last updated
06/06/2023
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