Individual
TRAVIS JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 WALDEN ST, CONCORD, MA 01742-3622
(978) 369-7611
Mailing address
18 HAMPTON AVE UNIT 1, LOWELL, MA 01854-3159
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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