Individual
GWENDOLYN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8957 KOOPER TRL, CHEYENNE, WY 82009-7935
(307) 399-2876
(307) 763-5587
Mailing address
8957 KOOPER TRL, CHEYENNE, WY 82009-7935
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-802
WY
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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