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Individual
IAN STOUT
Active
Individual
IAN STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2406283
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.180236
OH
Other
Enumeration date
01/20/2021
Last updated
07/16/2024
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