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1942053616
AMANDA STOUT
DECATUR, IL
NPI
1942053616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149027004)
Enumeration Date
2024-04-10
Last Update Date
2024-04-10
Business Address
AMANDA STOUT LCSW
363 S MAIN ST STE 240
DECATUR, IL 62523-1492
Phone number: 217-422-0027
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Mailing Address
AMANDA STOUT LCSW
2960 LAKELAND RD
DECATUR, IL 62521-5948
Phone number: 217-853-4785
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