Individual
JAMIE HERRING TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
3999 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-4929
(270) 886-2205
(270) 886-0392
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
05/10/2016
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