Individual
KELLY ANN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2980 S JONES BLVD, LAS VEGAS, NV 89146-5656
(702) 544-0076
Mailing address
7668 FRIENDLY BREEZE CT, LAS VEGAS, NV 89123-1301
(702) 544-0076
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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