Individual
MRS. BROOKE ERIN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 SE REGATTA DR. #101, OAK HARBOR, WA 98277
(360) 679-1039
(360) 679-6646
Mailing address
PO BOX 633, OAK HARBOR, WA 98277
(360) 679-1039
(360) 679-6646
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00009307
WA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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