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General NPI Number Information
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NPI Number | 1295832897
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Entity Type | Individual
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Provider Name | SUSAN KAY TRAFTON ED.D.
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Gender | Female
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 2169 N 53RD ST
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City | MILWAUKEE
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State | WI
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Zip | 53208-1008
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Country | US
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Telephone | 414-305-7496
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Fax | 262-364-2424
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Provider Business Mailing Address
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Address Line | PO BOX 99
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City | CASCADE
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State | WI
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Zip | 53011-0099
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Country | US
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Telephone | 414-462-8979
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1764-057
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License Number State | WI
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