Individual
KIMBERLY ALFORD STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29752 MELINDA RD APT 513, RANCHO SANTA MARGARITA, CA 92688-3454
(949) 566-1250
Mailing address
29752 MELINDA RD APT 513, RANCHO SANTA MARGARITA, CA 92688-3454
(949) 566-1250
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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