Individual
MARIE-ALICE STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC, LSW
Contact information
Practice address
55 AVIGNON DR, MORRIS PLAINS, NJ 07950-1365
(201) 478-1043
Mailing address
55 AVIGNON DR, MORRIS PLAINS, NJ 07950-1365
(201) 478-1043
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37LC00374900
NJ
Other
Enumeration date
06/20/2023
Last updated
07/26/2023
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