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1144689977
TRAVIS R. HAGE
BRADENTON, FL
NPI
1144689977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH13958)
Enumeration Date
2016-02-22
Last Update Date
2019-05-21
Business Address
TRAVIS R. HAGE LMHC
8636 STATE ROAD 70 E
BRADENTON, FL 34202-3785
Phone number: 941-549-1521
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Mailing Address
TRAVIS R. HAGE LMHC
21705 67TH AVE E
BRADENTON, FL 34211-7089
Phone number: 941-549-1521
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