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Individual

MR. DEWAYNE STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1610 JACKSON ST, MONROE, LA 71202-2030
(318) 538-5313
Mailing address
34 MAGNOLIA DR, MONROE, LA 71203-2771
(318) 538-5313

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106S00000X
Behavior Technician

Other

Enumeration date
03/30/2017
Last updated
03/30/2017
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