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1245864958
TRAVIS DALE SMITH
PHOENIX, AZ
NPI
1245864958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-18444)
Enumeration Date
2020-03-03
Last Update Date
2020-03-03
Business Address
Mr. TRAVIS DALE SMITH LPC
2255 W NORTHERN AVE
PHOENIX, AZ 85021-4936
Phone number: 602-995-1767
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Mailing Address
Mr. TRAVIS DALE SMITH LPC
2255 W NORTHERN AVE
PHOENIX, AZ 85021-4936
Phone number: 602-995-1767
Copy
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