Tina Stout

NPI #1114388519 in Ashley, Ohio

Provider Information

NPI Number: 1114388519
Entity Type: Individual
Name: Tina Stout
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Mar 11, 2016
Last Updated: Mar 11, 2016

Practice Location

Address: 9001 US HIGHWAY 42 N
City: Ashley
State: Ohio
ZIP Code: 43003-9702
Phone: (740) 369-4482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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