Individual
STEPHANIE WHILDEN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 GREER ST, CORDELE, GA 31015-1920
(273) 229-9445
Mailing address
1107 GREER ST, CORDELE, GA 31015-1920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002993
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/08/2019
Last updated
08/26/2019
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