ANNETTE SELSAVAG STOUT

Business Entity
NOT RENEWED

Social Worker

LICENSED CLINICAL SOCIAL WORKER

149002942

NOT RENEWED

N

ANNETTE SELSAVAG

STOUT

ANNETTE SELSAVAG STOUT

12/21/1990

11/30/1995

DALTON

GA

30720

GEORGIA

MASTERS

N

12/16/2005