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Individual

DR. MARY ANN TRAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS,MA,EDS,PHD

Contact information

Practice address
2150 N PARK AVE, WINTER PARK, FL 32789-2310
(407) 644-1522
Mailing address
2150 N PARK AVE, WINTER PARK, FL 32789-2310
(407) 644-1522

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS 672
FL

Other

Enumeration date
01/30/2007
Last updated
07/08/2007
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