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Individual
MS. CAROLYN JANE STOUTT
Active
Individual
MS. CAROLYN JANE STOUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW-ACSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW19828
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00007302
—
CA
01
—
CBSC210
LA-DMH-PROVIDER
CA
Enumeration date
04/19/2007
Last updated
07/09/2007
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