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Individual

JOHN TROUTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSCSW

Contact information

Practice address
2537 EISENHOWER RD, OTTAWA, KS 66067-9482
(785) 242-3780
(785) 242-6397
Mailing address
PO BOX 677, OTTAWA, KS 66067-0677
(785) 242-3780
(785) 242-6397

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 3659
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200494510A
KS
05
497185108
MO
Enumeration date
10/16/2006
Last updated
10/02/2012
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