Individual
MRS. BIONCA JUANNAY STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
481 POINT RD, THOMASVILLE, GA 31757-0938
(786) 338-1854
Mailing address
2127 HOUSTON AVE APT A, VALDOSTA, GA 31602-7197
(786) 338-1854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006280
GA
Other
Enumeration date
04/22/2019
Last updated
10/16/2020
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