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Individual
STEWART LEE ANDERSON
Active
Individual
STEWART LEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004784
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528091063
—
VA
Enumeration date
03/02/2010
Last updated
03/02/2010
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