Individual
PHYLLIS K STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
205 EMERSON ST APT C, WARRENSBURG, MO 64093-1484
(931) 808-0265
Mailing address
205 EMERSON ST APT C, WARRENSBURG, MO 64093-1484
(931) 808-0265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2009013548
MO
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/14/2007
Last updated
05/11/2010
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