NPI 1053348177

Kymra Fowler Stewart, LCSW

Practitioner Clinical Social Worker Southport, NC

Practice location

Address: 3960 Executive Park Blvd STE 3, Southport, NC 28461
Phone: (910) 854-0371
Fax: (910) 854-0371
Mailing address: 3960 Executive Park Blvd STE 3, Southport, NC 28461-8184

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence C001484 (NC)

Other Social Worker providers in North Carolina →

Registry record

NPI: 1053348177
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2006
Record last updated: 14 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.