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General NPI Number Information
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NPI Number | 1760749345
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Entity Type | Individual
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Provider Name | COURTNEY L STEWART LPC
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Gender | Female
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 515 22ND AVE
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City | MONROE
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State | WI
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Zip | 53566
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Country | US
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Telephone | 608-324-2321
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Fax | 815-756-2944
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Provider Business Mailing Address
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Address Line | 515 22ND AVE
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City | MONROE
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State | WI
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Zip | 53566
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Country | US
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Telephone | 815-756-4875
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Fax | 815-756-2944
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178007971
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4951-125
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License Number State | WI
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