Individual
CHARLENE STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41658 SCHOOL LOT ACL RD, ALBANY, OH 45710-9050
(740) 438-7308
Mailing address
41658, SCHOOL LOT ACL RD, ALBANY, OH 45710
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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