MATTHEW TRAVIS SOUTH

JACKSONVILLE, FL
NPI1831785401
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-12-17
Last Update Date2020-12-17
Business Address
MATTHEW TRAVIS SOUTH
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207-3691
Phone number: 779-490-4493
Mailing Address
MATTHEW TRAVIS SOUTH
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207-3691
Phone number: 779-490-4493
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