Individual
SHAUN TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 N JEFFERSON AVE, SAINT LOUIS, MO 63103-3000
(314) 652-4100
Mailing address
767 N EUCLID AVE, SAINT LOUIS, MO 63108-1645
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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