Carol Grace Trout, LCSW 7269123

NPI #1649359308 in Brown Deer, Wisconsin

Provider Information

NPI Number: 1649359308
Entity Type: Individual
Name: Carol Grace Trout, LCSW 7269123
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW 7269123
Enumeration Date: Nov 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3900 W BROWN DEER RD
Address 2: SUITE 200
City: Brown Deer
State: Wisconsin
ZIP Code: 53209
Phone: (414) 540-2170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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