Individual
TRAVIS O HUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
23 HIGH ST, FORT FAIRFIELD, ME 04742-1021
(207) 768-4718
(207) 768-4738
Mailing address
23 HIGH ST, FORT FAIRFIELD, ME 04742-1021
(207) 768-4718
(207) 768-4738
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC8168
ME
Other
Enumeration date
07/14/2006
Last updated
06/13/2008
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