Individual
DR. BEVERLY STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
484 MULBERRY ST, MACON, GA 31201-7906
(478) 765-8516
Mailing address
PO BOX 26725, MACON, GA 31221-6725
(478) 954-8310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010174
GA
Other
Enumeration date
03/21/2020
Last updated
08/08/2024
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