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1235665258
TRAVIS OWENS
HAZARD, KY
NPI
1235665258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 172792)
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
-- TRAVIS OWENS B.S. / TCADC
48 INDEPENDENCE DR
HAZARD, KY 41701-9443
Phone number: 606-487-1646
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Mailing Address
-- TRAVIS OWENS B.S. / TCADC
2050 HIGHWAY 721
HAZARD, KY 41701-7108
Phone number: 606-251-3308
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