Individual
AMANDA ELIZABETH STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8831
(931) 444-3219
Mailing address
1528 APACHE WAY, CLARKSVILLE, TN 37042-8178
(479) 586-0907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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