G KELLI STOUT

PLEASANT GROVE, UT
NPI1477983922
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  8311530-3502)
Enumeration Date2013-11-20
Last Update Date2013-11-20
Business Address
Ms. G KELLI STOUT CSW
194 S MAIN ST
PLEASANT GROVE, UT 84062-2631
Phone number: 801-785-1169
Mailing Address
Ms. G KELLI STOUT CSW
2184 N 800 W
PROVO, UT 84604-1261
Phone number: 801-472-3476