Individual
MS. ANGELA M TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1132 WESTFIELD ST, WEST SPRINGFIELD, MA 01089-3878
(800) 378-5454
Mailing address
82 LINDEN RD, MELROSE, MA 02176-2308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105966
MA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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