Individual
ALISA TROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 OAK AVE, BELLMAWR, NJ 08031-1131
(215) 839-6106
Mailing address
122 OAK AVE, BELLMAWR, NJ 08031-1131
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001026
PA
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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