Individual
AUDREY STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
148 WILSHIRE BLVD, CASSELBERRY, FL 32707-5372
(321) 972-4039
Mailing address
1701 LEE RD, APT #G31, WINTER PARK, FL 32789-2161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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