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1184919342
DIANE TRAVERS
MONTCLAIR, NJ
NPI
1184919342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC00747300)
Enumeration Date
2011-06-16
Last Update Date
2011-06-16
Business Address
-- DIANE TRAVERS LCSW
33 S FULLERTON AVE
MONTCLAIR, NJ 07042-3358
Phone number: 973-509-9777
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Mailing Address
-- DIANE TRAVERS LCSW
33 S FULLERTON AVE
MONTCLAIR, NJ 07042-3358
Phone number: 973-509-9777
Copy
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