MRS. Farrah Dane Stout, BS QMHP
NPI #1770607558 in Bristol, Tennessee
Provider Information
- NPI Number
- 1770607558
- Entity Type
- Individual
- Name
- MRS. Farrah Dane Stout, BS QMHP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Credential
- BS QMHP
- Enumeration Date
- Mar 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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