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Individual

CARRIE LYNN STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
1699 SE LYNGATE DR, PORT ST LUCIE, FL 34952-5016
(772) 335-9990
Mailing address
1699 SE LYNGATE DR, PORT ST LUCIE, FL 34952-5016
(772) 335-9990

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6365
FL

Other

Enumeration date
07/22/2010
Last updated
07/22/2010
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