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1841718236
TRAVIS WADE SKELLY
PORT CLINTON, OH
NPI
1841718236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OH CDCA.171179)
Enumeration Date
2017-09-06
Last Update Date
2020-01-07
Business Address
TRAVIS WADE SKELLY QMHS, CMS, CDCA
335 BUCKEYE BLVD
PORT CLINTON, OH 43452-1423
Phone number: 419-723-2942
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Mailing Address
TRAVIS WADE SKELLY QMHS, CMS, CDCA
1925 HAYES AVE
SANDUSKY, OH 44870-4737
Phone number: 419-557-5177
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