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1073390910
TRAVIS LONG
SUNNYVALE, TX
NPI
1073390910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 84620)
Enumeration Date
2023-09-13
Last Update Date
2023-09-13
Business Address
TRAVIS LONG LPC
2862 N BELT LINE RD
SUNNYVALE, TX 75182-9388
Phone number: 972-698-8478
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Mailing Address
TRAVIS LONG LPC
2862 N BELT LINE RD
SUNNYVALE, TX 75182-9388
Phone number: 972-698-8478
Copy
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