Individual
DOMINIQUE STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5421 MEADOWOOD DR, SPEEDWAY, IN 46224-3337
(812) 841-7486
Mailing address
PO BOX 146, CAMBY, IN 46113-0146
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/24/2018
Last updated
06/21/2025
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