Individual
KIM STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9013 E SCHOOL RD, ARGENTA, IL 62501-8045
(217) 383-0065
(217) 666-9967
Mailing address
9013 E SCHOOL RD, ARGENTA, IL 62501-8045
(217) 383-0065
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178020775
IL
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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