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NPI Code Detail

MEDICARE: PATRICIA STOUT LCSW

MEDICARE: PATRICIA STOUT LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerLCSW3035LA

General Provider Information

NPI Number : 1831207653
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA STOUT LCSW
Provider Business Mailing Address
First Line : PO BOX 942
Second Line :
City : MANDEVILLE
State : LA
Zip : 70470-0942
Country : US
Telephone Number : 985-264-8089
Fax Number :
Provider Business Practice Location Address
First Line : 71667 LEVESON ST
Second Line :
City : ABITA SPRINGS
State : LA
Zip : 70420-3635
Country : US
Telephone Number : 985-264-8089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 06/10/2016

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Directions to “ PATRICIA STOUT LCSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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