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Individual

MS. ARDITH KIMBERLY STOUTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1901 1ST AVE, NEW YORK, NY 10029-7404
(212) 423-7327
(212) 423-8610
Mailing address
1901 1ST AVE # 7SOUTH, NEW YORK, NY 10029-7404
(212) 423-8012
(212) 423-8610

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094479
NY

Other

Enumeration date
01/03/2018
Last updated
01/03/2018
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