NPI Profile for ENJOULI C STEWARD in FIFE, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Prevention Professional |
405300000X |
| NPI Number | 1891279949 |
|
| Status | Active | |
| Credentials | CG 60832872 | |
| Entity | Individual | |
| Enumeration date | 09/24/2018 | |
| Last updated | 11/09/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ENJOULI C STEWARD
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