Individual
MRS. PAULA STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
35 SUGAR MAPLE LN, SAINT CHARLES, MO 63303-5740
(636) 946-8887
(636) 946-4718
Mailing address
35 SUGAR MAPLE LN, SAINT CHARLES, MO 63303-5740
(636) 946-8887
(636) 946-4718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007021720
MO
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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