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Individual

DAVID GWIN RIVERTREE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
75 LOOP 150 W STE G, BASTROP, TX 78602-3722
(512) 337-4130
Mailing address
75 LOOP 150 W STE G, BASTROP, TX 78602-3722
(512) 337-4130

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
54259
TX

Other

Enumeration date
12/01/2011
Last updated
03/13/2024
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