Individual
SHELLY STEWART-MONFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
645 S ROGERS ST, BLOOMINGTON, IN 47403
(812) 339-1691
(812) 337-2438
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 337-2438
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IN
Other
Enumeration date
11/13/2006
Last updated
09/22/2018
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