Individual
MEGHAN RACHEL STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
725 HIGHLAND AVE, WINSTON SALEM, NC 27101-4180
(336) 607-8642
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P008866
NC
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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