Individual
MS. R DIETRICH STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFA
Contact information
Practice address
2101-D YAGER CREEK DRIVE, CHARLOTTE, NC 28273
(612) 290-8825
Mailing address
PO BOX 790172, CHARLOTTE, NC 28206-7901
(612) 290-8825
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7060A
NC
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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