| Kevin Treloar Ma Msw Lcsw | |
|
1046 Florida St Edwardsville IL 62025-1420 | |
| (618) 741-4024 | |
| Not Available |
| Full Name | Kevin Treloar Ma Msw Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1046 Florida St, Edwardsville, Illinois |
| Authorized Official Name and Position | Kevin Reginald Treloar (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6187414024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Treloar Ma Msw Lcsw 1046 Florida St Edwardsville IL 62025-1420 Ph: (618) 741-4024 | Kevin Treloar Ma Msw Lcsw 1046 Florida St Edwardsville IL 62025-1420 Ph: (618) 741-4024 |
| NPI Number | 1669617114 |
|---|---|
| Provider Enumeration Date | 12/12/2008 |
| Last Update Date | 12/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669617114 | NPI | - | NPPES |
| 000014371 | Other | MO | MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2003017029 (Missouri) | Primary |
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