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Individual

TRAVIS SPENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
375 N MAIN ST STE 102, KAYSVILLE, UT 84037-1272
(385) 324-6838
Mailing address
375 N MAIN ST STE 102, KAYSVILLE, UT 84037-1272
(385) 324-6838

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12912799-3502
UT

Other

Enumeration date
01/03/2023
Last updated
01/03/2023
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