LARRY A STOUT

MARION, IL
NPI1124282769
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  149004386)
Enumeration Date2008-07-14
Last Update Date2008-07-14
Business Address
-- LARRY A STOUT MSW
2400 W MAIN ST
MARION, IL 62959-1171
Phone number: 618-997-5311
Mailing Address
-- LARRY A STOUT MSW
11531 SUNDERLAND RD
MARION, IL 62959-8274
Phone number: 618-997-5311
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