SHAD LEVI STOUT

SAN ANTONIO, TX
NPI1942935648
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: TX  108250)
Enumeration Date2022-07-18
Last Update Date2022-07-18
Business Address
SHAD LEVI STOUT
1401 DEZARAE APT 3
SAN ANTONIO, TX 78253-5986
Phone number: 210-529-8410
Mailing Address
SHAD LEVI STOUT
8903 VERANDA CT
SAN ANTONIO, TX 78250-2609
Phone number: 985-705-7478
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