Thomas Kelly Stewart L,C,S,W.

NPI 1265677421 - Social Worker - 1041C0700X

NPI Details
NPI 1265677421
Gender Male
Enumeration Date 12/02/2008
Last Updated 12/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2490 N WATER ST
SUITE ONE
DECATUR IL, 62526-4251, US
Phone (217) 233-1327
Fax
Business Location
2490 N WATER ST
SUITE ONE
DECATUR IL, 62526-4251, US
Phone (217) 233-1327
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149.011779
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According to our database, Mr. Thomas Kelly Stewart L,C,S,W. NPI is 1265677421, taxonomy code is 1041C0700X and license number is 149.011779, license state is located at Illinois. Thomas Kelly Stewart L,C,S,W. physically located at 2490 N Water St, Decatur IL, 62526-4251. NPI Number Thomas Kelly Stewart L,C,S,W. has the Individual type.

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1265677421 NPI number is provided on an as is basis without warranty of any kind. 1265677421 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Kelly Stewart L,C,S,W. are for informational purposes only.