Individual
RAEANITIA DAWN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2233 W POINT RD, LAGRANGE, GA 30240-4061
(706) 837-0045
Mailing address
119 OLD AIRPORT RD APT 287, LAGRANGE, GA 30240-6478
(312) 532-0203
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW010096
GA
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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