MRS. Mellisa Rae Trout

NPI #1679340335 in West Branch, Michigan

Provider Information

NPI Number: 1679340335
Entity Type: Individual
Name: MRS. Mellisa Rae Trout
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 4, 2023
Last Updated: Dec 4, 2023

Practice Location

Address: 975 S MORRISON RD
City: West Branch
State: Michigan
ZIP Code: 48661-9078
Phone: (989) 387-9455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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