Individual
MR. TRAVIS JAY TROTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1841 N PROSPECT AVE, MILWAUKEE, WI 53202-1933
(773) 993-8708
Mailing address
1841 N PROSPECT AVE, MILWAUKEE, WI 53202-1933
(773) 993-8708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149017843
IL
1041C0700X
Clinical Social Worker
Primary
8447123
WI
Other
Enumeration date
07/30/2012
Last updated
04/01/2017
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