Individual
CLIVE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17135 LINCOLN DR, SOUTHFIELD, MI 48076-7227
(313) 617-0008
Mailing address
20250 HEYDEN ST, DETROIT, MI 48219-1449
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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