LISA TRAVIS

EDGEWATER, MD
NPI1013456714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  21300)
Enumeration Date2017-02-15
Last Update Date2017-02-17
Business Address
-- LISA TRAVIS
28 DENTAL RD
EDGEWATER, MD 21037-2685
Phone number: 434-426-6528
Mailing Address
-- LISA TRAVIS
28 DENTAL RD
EDGEWATER, MD 21037-2685
Phone number: 434-426-6528
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