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NPI Profile for KYLIE D STOUGH in OAK RIDGE, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
General Practice |
163WG0000X |
| NPI Number | 1205410016 |
|
| Status | Active | |
| Credentials | LPC/MHSP | |
| Entity | Individual | |
| Enumeration date | 05/07/2021 | |
| Last updated | 05/07/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KYLIE D STOUGH
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KYLIE D STOUGH, LPC/MHSP