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1023651270
ANTHONY KEITH TRAVIS
JACKSON, MI
NPI
1023651270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801103276)
Enumeration Date
2019-10-21
Last Update Date
2021-09-13
Business Address
ANTHONY KEITH TRAVIS LLMSW
1206 CLINTON RD
JACKSON, MI 49202-2005
Phone number: 517-783-4250
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Mailing Address
ANTHONY KEITH TRAVIS LLMSW
1206 CLINTON RD
JACKSON, MI 49202-2005
Phone number: 517-783-4250
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