RALPH STOUT

SAN BERNARDINO, CA
NPI1649694399
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-02-14
Last Update Date2014-02-14
Business Address
-- RALPH STOUT CATC
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-884-0840
Mailing Address
-- RALPH STOUT CATC
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-884-0840
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