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1649429911
SUSAN M. TRAVERS
TROY, NY
NPI
1649429911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 4047)
Enumeration Date
2008-09-11
Last Update Date
2008-09-11
Business Address
-- SUSAN M. TRAVERS CASAC
16 1ST ST
TROY, NY 12180-3802
Phone number: 518-272-3918
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Mailing Address
-- SUSAN M. TRAVERS CASAC
410 7TH ST
WATERVLIET, NY 12189-3624
Phone number: 518-892-5159
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