MRS. Kelley Stout
NPI #1902159361 in Malden, Massachusetts
Provider Information
- NPI Number
- 1902159361
- Entity Type
- Individual
- Name
- MRS. Kelley Stout
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 23, 2012
- Last Updated
- Oct 23, 2012
Practice Location
- Address
- 730 EASTERN AVE
- City
- Malden
- State
- Massachusetts
- ZIP Code
- 02148-5924
- Phone
- (781) 879-8199
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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