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Individual

MS. SHALONDA STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, MBA

Contact information

Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
800 ZORN AVENUE, LOUISVILLE, KY 40206
(502) 287-4639

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34007297A
IN
1041C0700X
Clinical Social Worker
Primary
5067
KY
1041C0700X
Clinical Social Worker
5930
KY

Other

Enumeration date
12/02/2010
Last updated
08/24/2017
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