Individual
MRS. ANNETTE STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MAC
Contact information
Practice address
405 ANGEL LN, RINGGOLD, GA 30736-8031
(706) 313-5100
Mailing address
405 ANGEL LN, RINGGOLD, GA 30736-8031
(706) 313-5100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CSW001785
GA
Other
Enumeration date
07/19/2006
Last updated
05/10/2023
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