Justine Marie Ivy, MSW

NPI #1174165922 in Bothell, Washington

Provider Information

NPI Number
1174165922
Entity Type
Individual
Name
Justine Marie Ivy, MSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MSW
Enumeration Date
Oct 14, 2019
Last Updated
Oct 14, 2019

Practice Location

Address
2641 242ND PL SE
ZIP Code
98021-6508
Phone
(206) 229-4056

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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