Individual
SARAH ANNE STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 S OAKLAND AVE, BOISE, ID 83706-3138
(208) 413-1569
Mailing address
1017 S OAKLAND AVE, BOISE, ID 83706-3138
(208) 413-1569
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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