Individual
MRS. KELLY ANN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
155 INVERNESS DR W, STE 200, ENGLEWOOD, CO 80112-5095
(303) 779-9676
Mailing address
10350 DRANSFELDT RD, PARKER, CO 80134-9673
(303) 597-3874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
991389
CO
Other
Enumeration date
10/26/2006
Last updated
03/30/2015
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