Provider Information for 1689212912
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MICHAELA RENEE STEWART MEd
Sex: Female
NPI: 1689212912
Last Updated: 2019-12-17
Certification Date: 2019-12-17
Certification Date: 2019-12-17
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1689212912 | ||||||||
| Enumeration Date | 2019-12-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4150 SOUTHWEST DR STE 218 ABILENE, TX 79606-2292 United States Phone: 325-692-4048 | Fax: | ||||||||
| Primary Practice Address | 4150 SOUTHWEST DR STE 218 ABILENE, TX 79606-2292 United States Phone: 325-692-4048 | Fax: | ||||||||
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