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Individual

MR. WILLIAM GLEN TRAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
908 20TH ST S, BIRMINGHAM, AL 35205-2610
(205) 934-9715
(205) 975-8950
Mailing address
908 20TH ST S, BIRMINGHAM, AL 35205-2610
(205) 934-9715
(205) 975-8950

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
1-180703
AL

Other

Enumeration date
03/04/2022
Last updated
03/04/2022
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