ALICIA STOUT

Community Health Worker

Active Individual
NPI: 1710471503

Practice Address

5445 W SOUTHPORT RD
Indianapolis, IN 46221

Phone: (317) 778-6955

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1710471503 is the National Provider Identifier for ALICIA STOUT, a Community Health Worker provider located in Indianapolis, IN. This NPI was enumerated on June 15, 2018.
ALICIA STOUT practices at 5445 W SOUTHPORT RD, Indianapolis, IN 46221.

Quick Facts

NPI
1710471503
Type
Individual
Enumerated
Jun 15, 2018
Last Updated
Jun 15, 2018

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