Individual
HANNAH JEANE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 FRIEDBERG CHURCH RD, WINSTON SALEM, NC 27127-9803
(336) 251-1180
Mailing address
6171 CHAMBERLAIN PL APT 201, WINSTON SALEM, NC 27103-7145
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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