EILEEN CAROL TRAVIS

BAYSIDE, NY
NPI1114141009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R030727-1)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
-- EILEEN CAROL TRAVIS LCSW
21704 NORTHERN BLVD
BAYSIDE, NY 11361-3500
Phone number: 718-423-7371
Mailing Address
-- EILEEN CAROL TRAVIS LCSW
21704 NORTHERN BLVD
BAYSIDE, NY 11361-3500
Phone number: 718-423-7371
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