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Organization
TRAVIS CORPORATION
Active
Organization
TRAVIS CORPORATION
Active
Other names
People Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE L BIRD PH.D. (CEO)
(617) 441-1770
Entity
Organization
Contact information
Practice address
1705 COLUMBUS AVE., ROXBURY, MA 02119
(617) 516-5150
(617) 442-6915
Mailing address
1705 COLUMBUS AVE, ROXBURY, MA 02119
(617) 516-5150
(617) 442-6915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4211
MA
Other
Enumeration date
07/05/2006
Last updated
02/09/2009
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