Amanda Rose Trout LISW

NPI 1770724155 - Social Worker - 1041C0700X

NPI Details
NPI 1770724155
Gender Female
Enumeration Date 03/16/2009
Last Updated 07/27/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
LAS CRUCES NM, 88011-8236, US
Phone (575) 521-9210
Fax (575) 521-9201
Business Location
PO BOX 14022
LAS CRUCES NM, 88013-4022, US
Phone (575) 521-9210
Fax (575) 521-9201
Taxonomy Code 1041C0700X
License State New Mexico
License Number I-06248
Remove 1770724155 NPI Number

According to our database, Ms. Amanda Rose Trout LISW NPI is 1770724155, taxonomy code is 1041C0700X and license number is I-06248, license state is located at New Mexico. Amanda Rose Trout LISW physically located at 2507 N Telshor Blvd Ste A2, Las Cruces NM, 88011-8236. NPI Number Amanda Rose Trout LISW has the Individual type.

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1770724155 NPI number is provided on an as is basis without warranty of any kind. 1770724155 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Rose Trout LISW are for informational purposes only.