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1770769887
SANDRA TRAVIS
IUKA, MS
NPI
1770769887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-01-18
Last Update Date
2008-01-18
Business Address
-- SANDRA TRAVIS CMHT
1213 MARIA LN
IUKA, MS 38852-1135
Phone number: 662-423-3332
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Mailing Address
-- SANDRA TRAVIS CMHT
PO BOX 839
CORINTH, MS 38835-0839
Phone number: 662-286-2152
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