Travis Wade Depew, BA

NPI #1396105862 in Easton, Maryland

Provider Information

NPI Number: 1396105862
Entity Type: Individual
Name: Travis Wade Depew, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BA
Enumeration Date: Feb 26, 2016
Last Updated: Feb 26, 2016

Practice Location

Address: 29520 CANVASBACK DR
City: Easton
State: Maryland
ZIP Code: 21601-7124
Phone: (410) 822-5007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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