ROOSEVELT TRAVIS

SEATTLE, WA
NPI1992847420
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS 10510)
Enumeration Date2007-02-12
Last Update Date2007-07-08
Business Address
Mr. ROOSEVELT TRAVIS L.C.S.W.
4800 SAND POINT WAY NE # W-3638
SEATTLE, WA 98105-3901
Phone number: 425-836-4179
Mailing Address
Mr. ROOSEVELT TRAVIS L.C.S.W.
5310 221ST AVE NE
REDMOND, WA 98053-8249
Phone number: 425-836-4179