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Individual

JAYSON STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA, MSW

Contact information

Practice address
301 N 1ST ST BLDG 46, ALTUS AFB, OK 73523-5004
(580) 481-5376
Mailing address
301 N. FIRST ST, ALTUS AFB, OK 73523

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12499157-3502
UT
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
04/18/2013
Last updated
09/14/2023
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