TRAVIS MARTIN

PROVIDENCE, RI
NPI1760888796
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  CSW01572)
Enumeration Date2014-11-19
Last Update Date2014-11-19
Business Address
-- TRAVIS MARTIN
349 HUNTINGTON AVE
PROVIDENCE, RI 02909-3005
Phone number: 401-942-1450
Mailing Address
-- TRAVIS MARTIN
349 HUNTINGTON AVE
PROVIDENCE, RI 02909-3005
Phone number: 401-942-1450