Individual
DARIEA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 CHARLES HARDY PKWY, DALLAS, GA 30157-5723
(770) 445-2128
Mailing address
495 CHARLES HARDY PKWY, DALLAS, GA 30157-5723
(478) 335-2595
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010962
GA
Other
Enumeration date
03/16/2017
Last updated
02/22/2022
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