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Individual

TRAVIS ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4325 BARKER ST SE APT 2, WASHINGTON, DC 20019-5635
(202) 658-5364
Mailing address
4325 BARKER ST SE APT 2, WASHINGTON, DC 20019-5635
(202) 658-5364

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/07/2026
Last updated
04/07/2026
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