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Individual
MR. TRAVIS RAY STRANGE
Active
Individual
MR. TRAVIS RAY STRANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC - SUPERVISOR
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176331001
—
TX
Enumeration date
01/03/2007
Last updated
07/06/2023
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