ELYSA STOUT

SPRINGFIELD, IL
NPI1164984928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-04-02
Last Update Date2019-04-02
Business Address
ELYSA STOUT
5220 6TH STREET FRONTAGE RD E STE 1700
SPRINGFIELD, IL 62703-5771
Phone number: 217-525-8332
Mailing Address
ELYSA STOUT
5220 6TH STREET FRONTAGE RD E STE 1700
SPRINGFIELD, IL 62703-5771
Phone number: 217-525-8332
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