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1700603099
TRAVIS LOGAN JUSTICE
WILMINGTON, DE
NPI
1700603099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
TRAVIS LOGAN JUSTICE
1812 NEWPORT GAP PIKE
WILMINGTON, DE 19808-6179
Phone number: 302-500-5879
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Mailing Address
TRAVIS LOGAN JUSTICE
532 LIAM PL
BEAR, DE 19701-2442
Phone number: 443-889-0292
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