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1013395128
KELLY STOUT
SALT LAKE CITY, UT
NPI
1013395128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: UT 6022766-2501)
Enumeration Date
2015-05-08
Last Update Date
2021-11-23
Business Address
KELLY STOUT PHD
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1287
Phone number: 801-213-3469
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Mailing Address
KELLY STOUT PHD
127 S. 500 E SUITE 600
SALT LAKE CITY, UT 84102-1971
Phone number: 801-587-6336
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