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1427234285
TRAVIS MICHAEL WHITE
TYLER, TX
NPI
1427234285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 63524)
Enumeration Date
2008-01-10
Last Update Date
2013-10-25
Business Address
Mr. TRAVIS MICHAEL WHITE MA, LPC-S
120 W 5TH ST
TYLER, TX 75701-4054
Phone number: 903-780-3477
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Mailing Address
Mr. TRAVIS MICHAEL WHITE MA, LPC-S
PO BOX 43
BULLARD, TX 75757-0043
Phone number: 903-780-3477
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