Individual
TRAVIS STICKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
PSC BOX 66125, BEAUFORT, SC 29904-6120
(843) 228-7331
Mailing address
PSC BOX 66125, BEAUFORT, SC 29904-6120
(843) 228-7331
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW.09925595
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09925595
CO
Other
Enumeration date
10/23/2018
Last updated
09/10/2024
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