Individual
SALLY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
713 BIGLEY AVE, CHARLESTON, WV 25302-3356
(304) 895-1456
Mailing address
PO BOX 1017, RIPLEY, WV 25271-4017
(304) 531-7100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW122216452
WV
Other
Enumeration date
12/28/2022
Last updated
04/17/2024
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