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1033252622
TRAVIS AARON DEAN
IDAHO FALLS, ID
NPI
1033252622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-27235)
Enumeration Date
2007-02-14
Last Update Date
2020-02-03
Business Address
TRAVIS AARON DEAN LCSW
1337 E 17TH ST
IDAHO FALLS, ID 83404-6235
Phone number: 208-525-2090
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Mailing Address
TRAVIS AARON DEAN LCSW
3820 E 180 N
RIGBY, ID 83442
Phone number: 208-745-0639
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