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Individual
MR. TRAVIS W ARNOLD
Active
Individual
MR. TRAVIS W ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW, CDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60081305
WA
1041C0700X
Clinical Social Worker
Primary
LW60286982
WA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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