Individual
MARK IRWIN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LP
Contact information
Practice address
7616 CURRELL BLVD, SUITE 290, WOODBURY, MN 55125-8204
(651) 769-6550
(651) 769-6599
Mailing address
2497 7TH AVE E, SUITE 101, NORTH ST PAUL, MN 55109-2496
(651) 769-6437
(651) 769-6426
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2568
MN
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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