MS. Kerry L. Stout, LICSW
NPI #1295983872 in Essex Junction, Vermont
Provider Information
- NPI Number
- 1295983872
- Entity Type
- Individual
- Name
- MS. Kerry L. Stout, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Sep 8, 2008
- Last Updated
- May 19, 2011
Practice Location
- Address
- 15 PINECREST DR
- City
- Essex Junction
- State
- Vermont
- ZIP Code
- 05452-2912
- Phone
- (802) 288-1087
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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