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Individual

MS. BEVERLY RUTH TRAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
114 E 6TH AVE, BELTON, TX 76513-2651
(254) 421-3896
(254) 613-4381
Mailing address
114 E 6TH AVE, BELTON, TX 76513-2651
(254) 421-3896
(254) 613-4381

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20156
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063886802
TX
Enumeration date
07/05/2006
Last updated
06/05/2025
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