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1174096010
TRAVIS JAMES FLEWELLING
TROY, NY
NPI
1174096010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 31576)
Enumeration Date
2019-01-03
Last Update Date
2020-12-16
Business Address
TRAVIS JAMES FLEWELLING CASAC
2435 6TH AVE
TROY, NY 12180-2227
Phone number: 518-274-5143
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Mailing Address
TRAVIS JAMES FLEWELLING CASAC
205 DEER RUN DR APT C
HUDSON FALLS, NY 12839-2739
Phone number:
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