Individual
ALISA D STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13015 10TH ST, GRANDVIEW, MO 64030-2401
(816) 316-5000
Mailing address
13015 10TH ST, GRANDVIEW, MO 64030-2401
(816) 316-5000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MO
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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