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Individual
MR. TRAVIS LEE COLE
Active
Individual
MR. TRAVIS LEE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, ASW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW61074
CA
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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