Travis Lee Woolridge
Travis Lee Woolridge is a Peer Specialist in Wagoner, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
109 S Harrill AveWagoner, OK 74467-5317
Phone: (573) 473-7504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1407500788 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 7, 2022 |
| Last updated in NPPES | February 7, 2022 |
| Certification date | January 19, 2022 |
| Mailing address | 2665 E Albany St Apt G-811, Broken Arrow, OK 74014-4752 |
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