TRAVIS MERRELL TRONE

CENTRALIA, IL
NPI1003037557
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
-- TRAVIS MERRELL TRONE
628 TRACY TER
CENTRALIA, IL 62801-4478
Phone number: 618-533-2579
Mailing Address
-- TRAVIS MERRELL TRONE
628 TRACY TER
CENTRALIA, IL 62801-4478
Phone number:
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