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1629081153
TRAVIS HERMANCE
PROVIDENCE, RI
NPI
1629081153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW01501)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
-- TRAVIS HERMANCE LICSW
3 PHILLIPS ST
PROVIDENCE, RI 02906-2420
Phone number: 401-465-5165
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Mailing Address
-- TRAVIS HERMANCE LICSW
3 PHILLIPS ST
PROVIDENCE, RI 02906-2420
Phone number:
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