Individual
MS. DULCY STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4793 SARATOGA RD, MILLINGTON, TN 38053-2314
(901) 634-8794
Mailing address
4793 SARATOGA RD, MILLINGTON, TN 38053
(901) 634-8794
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5171
TN
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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