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Individual

MS. ELAINE TROUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
1211 HAWAII AVE, ALAMOGORDO, NM 88310-6437
(505) 439-3200
Mailing address
3116 PLAZA DEL PRADO, ALAMOGORDO, NM 88310-3966
(505) 437-4561

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3309
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
61905526
NM
Enumeration date
10/17/2006
Last updated
07/09/2007
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