Individual
AUTUMN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1157 2ND AVE, GALLIPOLIS, OH 45631-1705
(740) 441-5250
Mailing address
1157 2ND AVE, GALLIPOLIS, OH 45631-1705
(740) 441-5250
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/26/2024
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