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1073660973
PATRICK A TRAVISS
SANTA ROSA, CA
NPI
1073660973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 4035)
Enumeration Date
2007-01-04
Last Update Date
2007-07-09
Business Address
-- PATRICK A TRAVISS LCSW
2455 BENNETT VALLEY RD SUITE 208B
SANTA ROSA, CA 95404-5663
Phone number: 707-526-2595
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Mailing Address
-- PATRICK A TRAVISS LCSW
1825 SAN RAMON WAY
SANTA ROSA, CA 95409-3967
Phone number: 707-539-6809
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