Most Relevant Information
Provider Data
| NPI Number: | 1003582172 |
| Provider Name: | STEPHANIE TRAVER |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/19/2021 |
| Last Updated: | 08/19/2021 |
Provider Practice Location
386 STANLEY ST
FALL RIVER
MA
027206009
Practice Location Phone/Fax
| Phone: | 5086795222 |
| Fax: |
Provider Mailing Location
101 ALDER ST # 2
WALTHAM
MA
024530526
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |