Individual
GWENDALYN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15400 CHOLAME RD, VICTORVILLE, CA 92392-2480
(760) 245-4695
Mailing address
15400 CHOLAME RD, VICTORVILLE, CA 92392-2480
(760) 245-4695
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
Other
Enumeration date
11/14/2007
Last updated
10/01/2013
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