Individual
MRS. ELIZABETH MARY STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1015 6TH ST, SUITE 106, ANACORTES, WA 98221-1795
(360) 303-2486
Mailing address
1015 6TH ST, SUITE 106, ANACORTES, WA 98221-1795
(360) 303-2486
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017987
—
WA
Enumeration date
06/15/2012
Last updated
04/21/2017
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