Individual
MS. AISHA STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS S/T
Contact information
Practice address
3257 VERDANT DR SW, APT 1412, ATLANTA, GA 30331-3091
(340) 642-2334
Mailing address
3257 VERDANT DR SW, APT 1412, ATLANTA, GA 30331-3091
(340) 642-2334
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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