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Individual
MARIA STEWART
Active
Individual
MARIA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071005206
IL
235Z00000X
Speech-Language Pathologist
146001511
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04922024
BCBS PT
IL
01
—
2222567
BCBS SP
IL
Enumeration date
12/19/2006
Last updated
05/23/2008
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