Stoutt, Carolyn Jane

Stoutt, Carolyn Jane is an sole proprietor health care provider with primary practice located at 14600 Ramona Blvd , Baldwin Park CA 91706-3363. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stoutt, Carolyn Jane can be contacted via phone (626) 337-8811.

Contact Information

Primary practice address
14600 Ramona Blvd Baldwin Park CA 91706-3363
Phone: (626) 337-8811
Fax: (626) 856-5653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW19828 California

Profile Details

NPI number 1689891699
LBN Legal business name Stoutt, Carolyn Jane
Credentials MSW-ACSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689891699 NPPES
California MEDICAID 00007302
California Other CBSC210

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