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Individual

TREVOR RYAN RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
BLANCHFIELD ARMY COMMUNITY HOSPITAL; BEHAVIORAL HEALTH, SWIP; 650 JOEL DRIVE, FORT CAMPBELL, KY 42223
(270) 798-0718
Mailing address
BLANCHFIELD ARMY COMMUNITY HOSPITAL; BEHAVIORAL HEALTH, SWIP; 650 JOEL DRIVE, FORT CAMPBELL, KY 42223
(270) 798-0718

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
256840
KY
1041C0700X
Clinical Social Worker
Primary
149.026787
IL

Other

Enumeration date
06/09/2022
Last updated
09/19/2024
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