Whalio Doctors

NPI 1427153063

Joan Stout, MSW

Practitioner Specialist Cheyenne, WY

Practice location

Address
6923 Evers Blvd, Cheyenne, WY 82009-2524
Phone
(307) 632-5027
Fax
(307) 632-1815
Mailing address
6923 Evers Blvd., Cheyenne, WY 82009

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence LCSW313 (WY)

Registry record

NPI
1427153063
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.