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1114082260
TREVOR J. CRAPO
POCATELLO, ID
NPI
1114082260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-29116)
Enumeration Date
2006-12-27
Last Update Date
2008-11-20
Business Address
Mr. TREVOR J. CRAPO LCSW
2055 GARRETT WAY STE 1
POCATELLO, ID 83201-5155
Phone number: 208-233-7832
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Mailing Address
Mr. TREVOR J. CRAPO LCSW
2975 CLEARWATER ST
POCATELLO, ID 83201-7900
Phone number: 208-757-8434
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