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1215010996
JUDY GERTRUDE STOUT
BRISTOL, TN
NPI
1215010996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
-- JUDY GERTRUDE STOUT BSW
266 NORTH ST
BRISTOL, TN 37620
Phone number: 423-989-4558
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Mailing Address
-- JUDY GERTRUDE STOUT BSW
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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