Travis Wade Cronin, LCSW

NPI #1811270697 in Mountain Home a F B, Idaho

Provider Information

NPI Number: 1811270697
Entity Type: Individual
Name: Travis Wade Cronin, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Sep 27, 2011
Last Updated: Nov 6, 2011

Practice Location

Address: 90 HOPE DR
City: Mountain Home a F B
State: Idaho
ZIP Code: 83648-1057
Phone: (208) 828-7582

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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