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Individual
ROBERT TREVENEN
Active
Individual
ROBERT TREVENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW,LSUDC, UTAH
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4920528-6006
UT
1041C0700X
Clinical Social Worker
Primary
4920528-3501
UT
1041C0700X
Clinical Social Worker
LCSW-927
WY
Other
Enumeration date
08/11/2015
Last updated
03/02/2020
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