Individual
TREVOR DISMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-3649
(563) 382-8183
Mailing address
905 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-3649
(563) 382-8183
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
081367
IA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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