Individual
TAWNYA J STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 KNIGHT ST STE 369, SHREVEPORT, LA 71105-2413
(318) 210-0587
Mailing address
2924 KNIGHT ST STE 369, SHREVEPORT, LA 71105-2413
(318) 210-0587
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14998
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2011
Last updated
01/03/2019
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