Individual
DIANE TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
33 S FULLERTON AVE, MONTCLAIR, NJ 07042-3358
(973) 509-9777
(973) 233-8299
Mailing address
33 S FULLERTON AVE, MONTCLAIR, NJ 07042-3358
(973) 509-9777
(973) 233-8299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00747300
NJ
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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