Michael B. Ivy, LCSW

NPI #1265802698 in Saco, Maine

Provider Information

NPI Number: 1265802698
Entity Type: Individual
Name: Michael B. Ivy, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Sep 28, 2015
Last Updated: Apr 28, 2022

Practice Location

Address: 110 MAIN ST STE 1508
City: Saco
State: Maine
ZIP Code: 04072-3517
Phone: (207) 807-9110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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