Individual
MATTHEW STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1719 SW 11TH ST, LAWTON, OK 73501-7305
(580) 581-1818
(580) 581-1819
Mailing address
PO BOX 662, PURCELL, OK 73080-0662
(405) 527-1785
(405) 527-1084
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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