Individual
AMBER DAWN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3776 MOUNTAINEER HIGHWAY, MABEN, WV 25870
(304) 294-5610
(304) 294-2045
Mailing address
PO BOX 835, MULLENS, WV 25882-0835
(304) 294-2025
(304) 294-2045
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932326121
—
WV
Enumeration date
01/28/2021
Last updated
02/01/2021
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