Individual
MR. THOMAS RICHARD STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLP
Contact information
Practice address
4670 FULTON ST E, SUITE 101, ADA, MI 49301-8455
(616) 560-5954
(616) 975-3163
Mailing address
2515 LEONARD ST NW, GRAND RAPIDS, MI 49504-3757
(606) 560-5954
(616) 975-3163
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301011054
MI
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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