Individual
DR. SARAH STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
12 FAIRLEIGH WAY, BALLSTON LAKE, NY 12019-2241
(317) 408-0110
Mailing address
12 FAIRLEIGH WAY, BALLSTON LAKE, NY 12019-2241
(317) 408-0110
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
12/27/2011
Last updated
09/25/2014
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