Individual
MR. CHARLES HARMON STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, CAP
Contact information
Practice address
702 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-5332
(386) 254-1202
(386) 947-2467
Mailing address
702 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-5332
(386) 254-1202
(386) 947-2467
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MHC 1331
FL
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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