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Individual

CLIFTON SHAVAR STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RSA

Contact information

Practice address
11560 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-4517
(708) 914-5800
Mailing address
11560 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-4517

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
175T00000X
Peer Specialist
Primary
IL

Other

Enumeration date
07/21/2023
Last updated
05/18/2026
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