Individual
KENNETH JOHN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
718 SMYTH RD., MANCHESTER, NH 03104-7007
(603) 624-4366
Mailing address
200, ROUTE 108, SOMERSWORTH, NH 03878-1119
(603) 624-4366
(603) 841-9038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
911
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020258994-79
HARVARD PILGRIM
NH
01
—
14Y001063NH01
BLUE CROSS
NH
01
—
2035061
CIGNA
NH
Enumeration date
10/10/2006
Last updated
07/22/2011
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