Individual
MS. DONNA TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
821 REGENCY DR, CHARLOTTE, NC 28211-5420
(704) 743-2105
(704) 743-2130
Mailing address
PO BOX 6071, CHARLOTTE, NC 28207-0001
(704) 661-1730
(704) 743-2130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001478
NC
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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