Individual
DENISE TRAVOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1541 LAUREL OAK DR, FAYETTEVILLE, NC 28314-6221
(708) 595-3048
Mailing address
1800 STONE MASON CT APT M, FAYETTEVILLE, NC 28304-5583
(708) 595-3048
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/16/2014
Last updated
01/27/2017
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