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1669844585
TRAVIS WILLIAMS
SHREVEPORT, LA
NPI
1669844585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-30
Last Update Date
2022-06-28
Business Address
TRAVIS WILLIAMS
8525 CHALMETTE DR
SHREVEPORT, LA 71115-2700
Phone number: 318-294-1277
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Mailing Address
TRAVIS WILLIAMS
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-294-1277
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