TRAVIS AARON DEAN

IDAHO FALLS, ID
NPI1033252622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-27235)
Enumeration Date2007-02-14
Last Update Date2020-02-03
Business Address
TRAVIS AARON DEAN LCSW
1337 E 17TH ST
IDAHO FALLS, ID 83404-6235
Phone number: 208-525-2090
Mailing Address
TRAVIS AARON DEAN LCSW
3820 E 180 N
RIGBY, ID 83442
Phone number: 208-745-0639
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