Individual
MERCY S STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1150 LYDIA'S CANYON RD, GLENDALE, UT 84729
(435) 592-2296
Mailing address
PO BOX 235, GLENDALE, UT 84729-0235
(435) 592-2296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
71184256004
UT
Other
Enumeration date
08/06/2007
Last updated
10/23/2019
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