Individual
MR. TREVOR J. CRAPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2055 GARRETT WAY STE 1, POCATELLO, ID 83201-5155
(208) 233-7832
(208) 232-7835
Mailing address
2975 CLEARWATER ST, POCATELLO, ID 83201-7900
(208) 757-8434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-29116
ID
Other
Enumeration date
12/27/2006
Last updated
11/20/2008
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