Individual
MS. CHRISTINE LOUISE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7 MANOR DR, DANVILLE, IN 46122-9400
(317) 718-0044
(317) 745-5219
Mailing address
PO BOX 390, DANVILLE, IN 46122-0390
(317) 718-0044
(317) 745-5219
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34100083A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000176499
ANTHEM BCBS
—
01
—
000000678921
ANTHEM GROUP
IN
01
—
11559642
CAQH
—
05
—
200225810A
—
IN
01
—
222655000
MAGELLAN
—
01
—
270168
MHN
—
01
—
7992006
AETNA
—
Enumeration date
07/14/2006
Last updated
12/07/2010
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