Individual
TARA ELESIA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
647 34TH AVE S, ST PETERSBURG, FL 33705-3730
(727) 824-5745
(727) 823-1565
Mailing address
3904 36TH TER S APT E, ST PETERSBURG, FL 33711-4141
(727) 824-5745
(727) 823-1565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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