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Individual
MONICA HELEN TRAVISS
Active
Individual
MONICA HELEN TRAVISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801099303
MI
1041C0700X
Clinical Social Worker
Primary
I.2103004
OH
Other
Enumeration date
07/03/2017
Last updated
01/20/2022
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