Individual
EDNA P STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
207 BROAD ST, WICHITA FALLS, TX 76301-2219
(940) 500-4903
(940) 500-4906
Mailing address
207 BROAD ST, WICHITA FALLS, TX 76301-2219
(940) 500-4903
(940) 500-4906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13958
TX
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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