Individual
MR. MICHAEL DAVID TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2808 E CONCORD RD, URBANA, IL 61802-7755
(217) 344-3212
(217) 344-1506
Mailing address
2808 E CONCORD RD, URBANA, IL 61802-7755
(217) 344-3212
(217) 344-1506
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.005539
IL
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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