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Individual

TRAVIS DAVID WENTWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1603 22ND ST STE 200, WEST DES MOINES, IA 50266-1410
(515) 601-0411
Mailing address
1603 22ND ST STE 200, WEST DES MOINES, IA 50266-1410
(515) 601-0411

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IA

Other

Enumeration date
01/18/2022
Last updated
01/18/2022
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