Individual
CAROL KELLY STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
946 NABBS CREEK RD, GLEN BURNIE, MD 21060-8434
(410) 890-4600
Mailing address
3 SPA CREEK LNDG UNIT B2, ANNAPOLIS, MD 21403-4232
(703) 927-9249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP5603
MD
Other
Enumeration date
02/02/2019
Last updated
02/02/2019
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