Individual
SARA ELYZABETH STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3790 OLD US HIGHWAY 41 N STE A, VALDOSTA, GA 31602-6865
(229) 262-1000
Mailing address
2703 PEBBLEWOOD DR, VALDOSTA, GA 31602-4203
(706) 726-4337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC010292
GA
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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