Individual
JANICE ELLEN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP
Contact information
Practice address
27 CAVAN DR, LUTHERVILLE, MD 21093-5450
(410) 887-3869
Mailing address
27 CAVAN DR, LUTHERVILLE, MD 21093-5450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02192
MD
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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