Individual
ELIZABETH A STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
111 PIEDRA LOOP, LOS ALAMOS, NM 87544-3827
(505) 672-1060
Mailing address
111 PIEDRA LOOP, LOS ALAMOS, NM 87544-3827
(505) 672-1060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011
NM
Other
Enumeration date
10/17/2012
Last updated
10/23/2012
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