| Stephen Stewart, Llc | |
|
737 Dunn Rd Hazelwood MO 63042-1740 | |
| (314) 465-0605 | |
| (314) 731-4433 |
| Full Name | Stephen Stewart, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 737 Dunn Rd, Hazelwood, Missouri |
| Authorized Official Name and Position | Stephen W Stewart (MEMBER) |
| Authorized Official Contact | 3144650605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Stewart, Llc 737 Dunn Rd Hazelwood MO 63042-1740 Ph: (314) 465-0605 | Stephen Stewart, Llc 737 Dunn Rd Hazelwood MO 63042-1740 Ph: (314) 465-0605 |
| NPI Number | 1538812664 |
|---|---|
| Provider Enumeration Date | 01/29/2022 |
| Last Update Date | 01/29/2022 |
| Certification Date | 01/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538812664 | NPI | - | NPPES |
| 20210151218 | Other | MO | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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