Jennifer Stout

NPI #1528590197 in Chesterton, Indiana

Provider Information

NPI Number: 1528590197
Entity Type: Individual
Name: Jennifer Stout
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Apr 1, 2017
Last Updated: Apr 1, 2017

Practice Location

Address: 1595 S CALUMET RD
City: Chesterton
State: Indiana
ZIP Code: 46304-2388
Phone: (844) 896-0235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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