Individual
MARJORIE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MH-18289
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH-18289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13708400
—
AK
01
—
684962
MEDICARE
AK
Enumeration date
07/12/2007
Last updated
09/13/2023
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