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Individual

MS. BETTY MILLARD STOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
2525 6TH ST, SUITE D, BREMERTON, WA 98312-3900
(360) 479-1628
(360) 377-5088
Mailing address
1103 SHOREWOOD DR, BREMERTON, WA 98312-2300

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/06/2007
Last updated
07/08/2007
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