Individual
LUCHANNA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18620 NW 22ND AVE, MIAMI GARDENS, FL 33056-3206
(305) 788-1775
Mailing address
18620 NW 22ND AVE, MIAMI GARDENS, FL 33056-3206
(305) 788-1775
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ISW10058
FL
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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