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Search › Connecticut › 104100000X

Travata Stewart

NPI 1588113609 · on the registry since 2016 · sole proprietor

Practice

Address
170 Bennett St
Bridgeport, CT 06605
Phone
(203) 330-6790
Fax
(203) 330-6756
Organisation at this address
Boys & Girls Village
Boys And Girls Village
Boys And Girls Village
Boys And Girls Village, , Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
70

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut