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Organization
KEVIN TRELOAR MA MSW LCSW
Active
Organization
KEVIN TRELOAR MA MSW LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN REGINALD TRELOAR MA MSW LCSW (PSYCHOTHERAPIST)
(618) 741-4024
Entity
Organization
Contact information
Practice address
1046 FLORIDA ST, EDWARDSVILLE, IL 62025-1420
(618) 741-4024
Mailing address
1046 FLORIDA ST, EDWARDSVILLE, IL 62025-1420
(618) 741-4024
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003017029
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000014371
MEDICARE GROUP #
MO
Enumeration date
12/12/2008
Last updated
12/12/2008
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