Individual
LORI ANN STOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5470 12B RD, BOURBON, IN 46504-9530
(574) 305-1989
Mailing address
5470 12B RD, BOURBON, IN 46504-9530
(574) 305-1989
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/14/2008
Last updated
05/12/2009
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