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Individual

MR. TRAVIS RODMAN CREASEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5092
(405) 456-1538
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5092
(405) 456-1538

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4519
OK

Other

Enumeration date
05/02/2011
Last updated
04/14/2025
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