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Individual

MRS. KRISTI LYNN TRAVERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
200 SCHOOL LN, HILTON, NY 14468-1249
(585) 392-1000
Mailing address
4744 E HENRIETTA RD, HENRIETTA, NY 14467-9732
(585) 392-1000

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
062164-1
NY
1041S0200X
School Social Worker
Primary
571867051
NY

Other

Enumeration date
10/05/2010
Last updated
10/05/2010
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