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Individual

MICHAEL STOUT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3700 SHERIDAN BLVD STE 1, LINCOLN, NE 68506-6100
(402) 489-1834
Mailing address
3700 SHERIDAN BLVD STE 1, LINCOLN, NE 68506-6100

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13082
NE

Other

Enumeration date
07/22/2022
Last updated
08/09/2022
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