| NPI | 1588751465 |
|---|---|
| Other Name | KELLY D. STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926143) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 4054) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-05-20 |