Individual
ALICIA JEORGE TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5333 MCAULEY DR, SUITE 4001, YPSILANTI, MI 48197
(734) 712-3980
Mailing address
8122 JACK PINE DR, YPSILANTI, MI 48197-7530
(734) 474-3743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801096543
MI
1041C0700X
Clinical Social Worker
Primary
6801109310
MI
Other
Enumeration date
01/29/2019
Last updated
06/13/2023
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