Individual
KELLY L STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Contact information
Practice address
235 MAIN ST, NORWAY, ME 04268-5943
(207) 739-2644
(207) 739-2467
Mailing address
235 MAIN ST, NORWAY, ME 04268-5943
(207) 739-2644
(207) 739-2467
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CC2631
ME
Other
Enumeration date
12/04/2006
Last updated
11/17/2009
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