Individual
KIRBY WAYNE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1707 GARDERE LN STE A, BATON ROUGE, LA 70820
(225) 831-9565
Mailing address
3432 CAMELIA ST, ZACHARY, LA 70791-2965
(225) 936-2884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/04/2017
Last updated
05/13/2018
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