Alicia Jeorge Travis, LMSW
Social Worker, Clinical in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1043774565
StatusActive
Last updated in NPPESJun 13, 2023
Details
- NPI
- 1043774565
- Entity type
- Individual (NPI-1)
- Name
- Alicia Jeorge Travis
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 29, 2019
- Certification date
- Jun 13, 2023
- Last updated
- Jun 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801109310 | MI | Yes |
| 1041C0700X | Social Worker, Clinical | 6801096543 | MI |
Practice location
5333 McAuley DrSuite 4001
Ypsilanti, MI 48197
Phone 734-712-3980
Mailing address
8122 Jack Pine DrYpsilanti, MI 48197-7530
Phone 734-474-3743
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All 319 Clinical Social Worker providers in Ypsilanti · All 4,454 providers in Ypsilanti
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