Ellis Stout
NPI #1124379342 in Tahlequah, Oklahoma
Provider Information
- NPI Number
- 1124379342
- Entity Type
- Individual
- Name
- Ellis Stout
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Sep 27, 2012
- Last Updated
- Sep 27, 2012
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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