Individual
STEPHEN PATRICK STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., M.ED.
Contact information
Practice address
4539 S INDIANA AVE APT 3, CHICAGO, IL 60653-5244
(219) 794-5250
Mailing address
4539 S INDIANA AVE APT 3, CHICAGO, IL 60653-5244
(219) 794-5250
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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