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1013793165
VELLA MAE TRAVIS
GLASGOW, KY
NPI
1013793165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 5509)
Enumeration Date
2023-09-05
Last Update Date
2023-09-05
Business Address
VELLA MAE TRAVIS CSW
112B ENSMINGER DR
GLASGOW, KY 42141-1157
Phone number: 270-629-6138
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Mailing Address
VELLA MAE TRAVIS CSW
112B ENSMINGER DR
GLASGOW, KY 42141-1157
Phone number: 270-629-6138
Copy
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