Individual
MADISON ANN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 BELCHASE DR, MATAWAN, NJ 07747-9758
(732) 851-6947
Mailing address
400 BELCHASE DR, MATAWAN, NJ 07747-9758
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01325200
NJ
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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