Individual
MRS. CAROLYN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
231 CLARKSVILLE RD STE 4A, PRINCETON JUNCTION, NJ 08550
(732) 982-2888
(847) 859-5885
Mailing address
175 E HAWTHORN PKWY STE 235, VERNON HILLS, IL 60061-1454
(847) 737-8768
(847) 859-5885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05334200
NJ
Other
Enumeration date
10/04/2018
Last updated
12/07/2018
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