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Individual
TRAVIS NATHAN TENNANT
Active
Individual
TRAVIS NATHAN TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851118402
MI
1041S0200X
School Social Worker
6851118402
MI
Other
Enumeration date
04/22/2025
Last updated
11/03/2025
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