Individual
MR. THOMAS S STEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3250 TRINITY DR STE C, LOS ALAMOS, NM 87544-2226
(505) 412-0010
Mailing address
62 GRAND CANYON DR, WHITE ROCK, NM 87547-3400
(505) 412-0010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3379
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33470707
—
NM
Enumeration date
01/11/2007
Last updated
07/01/2024
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