Individual
MRS. MARY STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 330-8720
Mailing address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 330-8720
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60401283
WA
Other
Enumeration date
09/06/2013
Last updated
12/10/2013
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