Provider Demographics
NPI:1356191308
Name:STOUT, RUTH (LSW)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:STOUT
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 CLAUDE THOMAS RD STE 29
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-1475
Mailing Address - Country:US
Mailing Address - Phone:513-725-6471
Mailing Address - Fax:937-600-6010
Practice Address - Street 1:8401 CLAUDE THOMAS RD STE 29
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-1475
Practice Address - Country:US
Practice Address - Phone:513-725-6471
Practice Address - Fax:937-600-6010
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2410511104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker