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1194899658
TERRY A BAVER
STATEN ISLAND, NY
NPI
1194899658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: NY 006548)
Enumeration Date
2006-11-17
Last Update Date
2010-09-14
Business Address
Dr. TERRY A BAVER PhD
633 CLOVE RD
STATEN ISLAND, NY 10310-2736
Phone number: 718-273-7579
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Mailing Address
Dr. TERRY A BAVER PhD
633 CLOVE ROAD
STATEN ISLAND, NY 10310
Phone number: 718-273-7579
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