Individual
MRS. AMANDA ROSE TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2206 E CENTRAL TEXAS EXPY, KILLEEN, TX 76543-5315
(254) 519-4162
(254) 519-3464
Mailing address
2163 BOWLES RNCH, BELTON, TX 76513-5866
(575) 635-8947
(254) 519-3464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
67671
TX
1041C0700X
Clinical Social Worker
I-06248
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80137857
—
NM
Enumeration date
03/16/2009
Last updated
06/23/2019
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