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1609017615
TRAVIS PHILIP VICK
WACO, TX
NPI
1609017615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 63056)
Enumeration Date
2009-03-20
Last Update Date
2010-09-14
Business Address
Mr. TRAVIS PHILIP VICK M.A.
3417 GREENWOOD DR
WACO, TX 76708-2250
Phone number: 254-292-9949
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Mailing Address
Mr. TRAVIS PHILIP VICK M.A.
3417 GREENWOOD DR
WACO, TX 76708-2250
Phone number: 254-292-9949
Copy
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