Individual
ANDREW JAY STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
408 NORTH ST, LOGANSPORT, IN 46947-2895
(574) 753-5540
(574) 753-8197
Mailing address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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