Individual
MARY E STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11250 ROGER BACON DR BLDG 10, RESTON, VA 20190-5219
(703) 483-9442
Mailing address
11250 ROGER BACON DR BLDG 10, RESTON, VA 20190-5219
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704013164
VA
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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