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1487186656
TRAVIS THORNTON
IDAHO FALLS, ID
NPI
1487186656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-36315)
Enumeration Date
2017-03-28
Last Update Date
2024-10-23
Business Address
TRAVIS THORNTON LCSW
2280 E 25TH ST
IDAHO FALLS, ID 83404-7542
Phone number: 208-227-2377
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Mailing Address
TRAVIS THORNTON LCSW
155 CRIMSON DR
IDAHO FALLS, ID 83401-3714
Phone number: 208-589-3628
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