Individual
PATRICIA STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
71667 LEVESON ST, ABITA SPRINGS, LA 70420-3635
(985) 264-8089
Mailing address
PO BOX 942, MANDEVILLE, LA 70470-0942
(985) 264-8089
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW3035
LA
Other
Enumeration date
08/29/2006
Last updated
06/10/2016
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