Individual
CAROL STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 ELM ST, CAIRO, IL 62914-1362
(618) 734-1027
Mailing address
3101 ELM ST, CAIRO, IL 62914-1362
(618) 734-1027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.003302
IL
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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