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1992847420
ROOSEVELT TRAVIS
SEATTLE, WA
NPI
1992847420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 10510)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
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
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Mailing Address
Mr. ROOSEVELT TRAVIS L.C.S.W.
5310 221ST AVE NE
REDMOND, WA 98053-8249
Phone number: 425-836-4179
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