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1649759002
STACY TRAVIS
TUPELO, MS
NPI
1649759002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
STACY TRAVIS
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595
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Mailing Address
STACY TRAVIS
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595
Copy
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