Individual
BOB CLIFFORD STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 238-7131
(701) 237-2686
Mailing address
3826 21ST ST S, FARGO, ND 58104-6872
(701) 232-7106
(701) 232-7106
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3231
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3231
LICENSE
ND
Enumeration date
08/23/2006
Last updated
07/08/2007
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