Individual
MR. TRAVIS MAURICE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
2115 WISCONSIN AVE NW, WASHINGTON, DC 20007-2265
(202) 944-5400
Mailing address
4714 MEADE ST NE, WASHINGTON, DC 20019-3946
(202) 527-8062
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGPC200020
DC
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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