Organization
THE CHILDREN'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR CRAPO LMSW (CLINICIAN)
(208) 233-3353
Entity
Organization
Contact information
Practice address
1151 HOSPITAL WAY, POCATELLO, ID 83201-2763
(208) 233-3353
(208) 233-1923
Mailing address
2150 STEVEN ST, POCATELLO, ID 83201-1957
(208) 757-8434
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-27085
ID
Other
Enumeration date
08/31/2006
Last updated
03/18/2008
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