Individual
MR. ROGER KEITH STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, PIP
Contact information
Practice address
909 EDWARDS AVE, FAIRHOPE, AL 36532-2985
(251) 928-0702
Mailing address
PO BOX 1863, FAIRHOPE, AL 36533-1863
(251) 928-0702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0722-1865C
AL
Other
Enumeration date
08/08/2009
Last updated
08/08/2009
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