AMANDA STOUT

DECATUR, IL
NPI1942053616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149027004)
Enumeration Date2024-04-10
Last Update Date2024-04-10
Business Address
AMANDA STOUT LCSW
363 S MAIN ST STE 240
DECATUR, IL 62523-1492
Phone number: 217-422-0027
Mailing Address
AMANDA STOUT LCSW
2960 LAKELAND RD
DECATUR, IL 62521-5948
Phone number: 217-853-4785