Chuck Ivy, LCSW

NPI #1134447386 in Roswell, New Mexico

Provider Information

NPI Number
1134447386
Entity Type
Individual
Name
Chuck Ivy, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 12, 2010
Last Updated
Mar 5, 2021

Practice Location

Address
1407 HIGHLAND RD
ZIP Code
88201-2146
Phone
(575) 208-2918

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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