TRAVIS CLARK HALL

TIFTON, GA
NPI1598269334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA  540)
Enumeration Date2018-03-19
Last Update Date2018-03-19
Business Address
TRAVIS CLARK HALL CADCII
2402 TIFT AVE N
TIFTON, GA 31794-1883
Phone number: 229-382-7898
Mailing Address
TRAVIS CLARK HALL CADCII
2402 TIFT AVE N
TIFTON, GA 31794-1883
Phone number: 229-382-7898
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