TRAVIS T MORD

LAKEVILLE, MN
NPI1285249391
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: MN  LP7230)
Enumeration Date2020-09-15
Last Update Date2025-08-04
Business Address
TRAVIS T MORD
10567 165TH ST W STE B
LAKEVILLE, MN 55044-3525
Phone number: 952-767-9374
Mailing Address
TRAVIS T MORD
W175N11120 STONEWOOD DR
GERMANTOWN, WI 53022-4799
Phone number: 800-438-1772