Individual
KELLY MARIE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
7071 S 13TH ST STE 100, OAK CREEK, WI 53154-1466
(414) 502-8762
Mailing address
7071 S 13TH ST STE 100, OAK CREEK, WI 53154-1466
(414) 502-8762
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
06175
IA
1041C0700X
Clinical Social Worker
Primary
9777-123
WI
Other
Enumeration date
03/30/2009
Last updated
05/14/2024
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