Individual
TRAVIS AARON DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1337 E 17TH ST, IDAHO FALLS, ID 83404-6235
(208) 525-2090
(208) 523-8978
Mailing address
3820 E 180 N, RIGBY, ID 83442
(208) 745-0639
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-27235
ID
Other
Enumeration date
02/14/2007
Last updated
02/03/2020
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