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1679941595
TRAVIS CAVAZOS
BOWLING GREEN, KY
NPI
1679941595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: KY LPCCCA00218829)
Enumeration Date
2015-09-09
Last Update Date
2015-09-09
Business Address
TRAVIS CAVAZOS
1048 ASHLEY ST SUITE 201
BOWLING GREEN, KY 42103-2449
Phone number: 270-904-6567
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Mailing Address
TRAVIS CAVAZOS
104 REYNOLDS RD
GLASGOW, KY 42141-1177
Phone number: 270-678-4801
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