PHYLISS D. STOUT

FORT PAYNE, AL
NPI1073667622
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
(Licence: AL  1592C)
Additional Taxonomies261QM0855X Clinic/Center, Adolescent and Children Mental Health
(Licence: AL  1592C)
Enumeration Date2007-01-22
Last Update Date2007-07-09
Business Address
Mrs. PHYLISS D. STOUT LCSW
300 GAULT AVE S
FORT PAYNE, AL 35967-1824
Phone number: 256-997-9356
Mailing Address
Mrs. PHYLISS D. STOUT LCSW
300 GAULT AVE S
FORT PAYNE, AL 35967-1824
Phone number: 256-997-9356
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