Individual
TRAVIS S BOULDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1022 W CROSS ST, BALTIMORE, MD 21230-2534
(301) 741-1429
Mailing address
1022 W CROSS ST, BALTIMORE, MD 21230-2534
(301) 741-1429
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MD
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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