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Vanzetta Stallworth, CASAC

NPI 1831310424 · on the registry since 2007

Practice

Address
1329 Beach Channel Drive
Far Rockaway, NY 11691
Phone
(718) 337-6850
Fax
(718) 868-3782
Organisation at this address
Catholic Charities
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 New York