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1881101020
KENYETTA ROSE TRAVIS
COLUMBUS, OH
NPI
1881101020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH S0030578)
Enumeration Date
2018-01-09
Last Update Date
2018-01-09
Business Address
KENYETTA ROSE TRAVIS
4200 REGENT ST STE 250
COLUMBUS, OH 43219-6229
Phone number: 614-420-2268
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Mailing Address
KENYETTA ROSE TRAVIS
4177 WESTERVILLE RD
COLUMBUS, OH 43224-1867
Phone number: 614-330-0647
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