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1205057304
CHAD AUSTIN STOUT
CORBIN, KY
NPI
1205057304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Mr. CHAD AUSTIN STOUT BS
1203 AMERICAN GREETING RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
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Mailing Address
Mr. CHAD AUSTIN STOUT BS
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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