Individual
MRS. MATTIE LYNN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1224 1ST ST S STE 300, NAMPA, ID 83651-3963
(208) 936-1097
Mailing address
1992 W WAPOOT DR, MERIDIAN, ID 83646-2771
(208) 695-4424
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44092
ID
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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