Individual
MS. KERRY L. STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
15 PINECREST DR, ESSEX JUNCTION, VT 05452-2912
(802) 288-1087
(802) 878-4404
Mailing address
208 FLYNN AVE, 3J, BURLINGTON, VT 05401-5429
(802) 488-6900
(802) 488-6919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890001258
VT
Other
Enumeration date
09/08/2008
Last updated
05/19/2011
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