DAVID WAYNE STOUT

VISALIA, CA
NPI1093442865
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  r1385150420)
Enumeration Date2022-08-02
Last Update Date2022-08-02
Business Address
DAVID WAYNE STOUT RADT
120 W SCHOOL AVE
VISALIA, CA 93291-4925
Phone number: 559-625-4100
Mailing Address
DAVID WAYNE STOUT RADT
120 W SCHOOL AVE
VISALIA, CA 93291-4925
Phone number: 559-625-4100
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