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1962659128
HEATHER LYNN STOUT
SIMI VALLEY, CA
NPI
1962659128
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Other Name
HEATHER LYNN VARDANIAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 63590)
Enumeration Date
2008-08-19
Last Update Date
2022-03-18
Business Address
HEATHER LYNN STOUT LCSW
3900 ALAMO ST
SIMI VALLEY, CA 93063-2111
Phone number: 833-574-2273
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Mailing Address
HEATHER LYNN STOUT LCSW
12450 VAN NUYS BLVD
PACOIMA, CA 91331-1391
Phone number: 626-395-7100
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