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1992210876
TRAVIS CHRISTOPHER VERDIN
HOUMA, LA
NPI
1992210876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-13
Last Update Date
2018-09-04
Business Address
TRAVIS CHRISTOPHER VERDIN BA
420 MAGNOLIA ST
HOUMA, LA 70360
Phone number: 985-879-3966
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Mailing Address
TRAVIS CHRISTOPHER VERDIN BA
420 MAGNOLIA ST
HOUMA, LA 70360-6304
Phone number: 985-879-3966
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