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1881744266
SANDRA S TRAVISS
SANTA ROSA, CA
NPI
1881744266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS5260)
Enumeration Date
2007-01-10
Last Update Date
2007-07-09
Business Address
-- SANDRA S TRAVISS LCSW
2455 BENNETT VALLEY RD SUITE 208B
SANTA ROSA, CA 95404-5663
Phone number: 707-526-2595
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Mailing Address
-- SANDRA S TRAVISS LCSW
1825 SAN RAMON WAY
SANTA ROSA, CA 95409-3967
Phone number: 707-526-2595
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