Individual
GWIN MICHELLE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.,CASAC
Contact information
Practice address
425 MARSHALL AVE, SAINT LOUIS, MO 63119-1833
(314) 724-0503
(314) 725-2744
Mailing address
425 MARSHALL AVE, SAINT LOUIS, MO 63119-1833
(314) 724-0503
(314) 725-2744
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
2002011104
MO
Other
Enumeration date
08/22/2007
Last updated
10/04/2007
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