Individual
KEVIN MICHAEL TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
239 ANNE DR, NEWPORT NEWS, VA 23601-1459
(757) 814-6488
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904008404
VA
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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