| Doctor Name: | MS. KERRY L. STOUT |
| NPI Number: | 1295983872 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 0890001258 |
| Business Practice Address: | 15 Pinecrest Dr Essex Junction, VT - 054522912 |
| Business Phone Number: | 8022881087 |
| Business Fax Number: | 8028784404 |
| Mailing Address: | 208 Flynn Ave, 3j BURLINGTON |
| State: | VT |
| Postal Code: | 054015429 |
| Phone Number: | 8024886900 |
| Fax Number: | 8024886919 |
| NPI Enumeration Date: | 09/08/2008 |
| NPI Last Update Date: | 05/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0890001258 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |