MS. G Kelli Stout, CSW
NPI #1477983922 in Pleasant Grove, Utah
Provider Information
- NPI Number
- 1477983922
- Entity Type
- Individual
- Name
- MS. G Kelli Stout, CSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- CSW
- Enumeration Date
- Nov 20, 2013
- Last Updated
- Nov 20, 2013
Practice Location
- Address
- 194 S MAIN ST
- City
- Pleasant Grove
- State
- Utah
- ZIP Code
- 84062-2631
- Phone
- (801) 785-1169
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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