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1114289972
MARY ANN LAVERTY
TROY, NY
NPI
1114289972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 656937-1)
Enumeration Date
2012-06-07
Last Update Date
2012-06-08
Business Address
Mrs. MARY ANN LAVERTY RNMSN
1724 5TH AVE
TROY, NY 12180-3320
Phone number: 518-272-3918
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Mailing Address
Mrs. MARY ANN LAVERTY RNMSN
1724 5TH AVE
TROY, NY 12180-3320
Phone number: 518-272-3918
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