Individual
SEAN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2474
(541) 984-3105
Mailing address
15 HORSEBLOCK PL, FARMINGVILLE, NY 11738-1204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L12655
OR
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/22/2011
Last updated
09/08/2021
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