Individual
CHRYSTAL STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 S GUARDSMAN WAY, SALT LAKE CITY, UT 84108-1374
(888) 949-4864
Mailing address
3809 W 6200 S, TAYLORSVILLE, UT 84129-3725
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5996944-3503
UT
Other
Enumeration date
01/19/2024
Last updated
09/08/2025
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