JACKIE LEE STEWART

WAVERLY, OH
NPI1942796552
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-07-06
Last Update Date2018-07-06
Business Address
JACKIE LEE STEWART cms
14574 US HIGHWAY 23
WAVERLY, OH 45690-9373
Phone number: 740-821-1562
Mailing Address
JACKIE LEE STEWART cms
1413 WASHINGTON BLVD S
WEST PORTSMOUTH, OH 45663-5893
Phone number:
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