Individual
KENZIE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1048 WILDWOOD CENTRE DR, COLUMBIA, SC 29229-8420
(706) 842-5330
(706) 842-5340
Mailing address
209 7TH ST FL 3, AUGUSTA, GA 30901-1486
(706) 842-5330
(706) 842-5340
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-446581
SC
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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