KERRY L TROUT

PASCO, WA
NPI1083776892
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00001561)
Enumeration Date2006-12-15
Last Update Date2007-07-08
Business Address
-- KERRY L TROUT CDP
720 W COURT ST 8
PASCO, WA 99301
Phone number: 509-528-6759
Mailing Address
-- KERRY L TROUT CDP
PO BOX 1323 515 W COURT ST
PASCO, WA 99301
Phone number: 509-547-2204
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