Individual
HATSUE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314B N MAGNOLIA ST, SUMTER, SC 29150-4324
(803) 775-5662
Mailing address
314B N MAGNOLIA ST, SUMTER, SC 29150-4324
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6129
SC
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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