Individual
TRAVIS SHANE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 346-8800
Mailing address
12111 S 208TH AVE, GRETNA, NE 68028-4073
(816) 273-8619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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