TRAVIS COREY VAN RUM

LEHI, UT
NPI1043511827
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  7722193-3502)
Enumeration Date2010-11-09
Last Update Date2010-11-09
Business Address
Mr. TRAVIS COREY VAN RUM CSW
130 W MAIN ST
LEHI, UT 84043-2100
Phone number: 801-891-6489
Mailing Address
Mr. TRAVIS COREY VAN RUM CSW
130 W MAIN ST
LEHI, UT 84043-2100
Phone number: 801-891-6489
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