Individual
CAROL STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4290
(920) 926-8885
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4290
(920) 926-8885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11789
WI
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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