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1730232380
KERRY TRAVISS
GRAND RAPIDS, MI
NPI
1730232380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801077343)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
-- KERRY TRAVISS LMSW
3019 COIT AVE NE
GRAND RAPIDS, MI 49505-3376
Phone number: 616-365-9575
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Mailing Address
-- KERRY TRAVISS LMSW
2145 CHESANING DR SE
GRAND RAPIDS, MI 49506-5310
Phone number:
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