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Individual
LAZERRICK JONMONTA TRAVIS
Active
Individual
LAZERRICK JONMONTA TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/17/2023
Last updated
04/14/2025
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