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1821299280
TRAVIS KURT BYBEE
IDAHO FALLS, ID
NPI
1821299280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-26094)
Enumeration Date
2007-05-31
Last Update Date
2007-07-09
Business Address
-- TRAVIS KURT BYBEE LCSW
767 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5286
Phone number: 208-542-0352
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Mailing Address
-- TRAVIS KURT BYBEE LCSW
767 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5286
Phone number: 208-542-0352
Copy
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