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Individual

BRENDA J. TRAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
6915 LAUREL-BOWIE ROAD, SUITE 205-F, BOWIE, MD 20715
(240) 245-4370
(240) 245-4472
Mailing address
6915 LAUREL BOWIE RD, SUITE 205-F, BOWIE, MD 20715-1703
(240) 245-4370
(240) 245-4472

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01507
MD

Other

Enumeration date
12/09/2010
Last updated
06/09/2011
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