MISS Hailey E Ivy

NPI #1356163729 in Fairview Heights, Illinois

Provider Information

NPI Number: 1356163729
Entity Type: Individual
Name: MISS Hailey E Ivy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Oct 28, 2024
Last Updated: Oct 28, 2024

Practice Location

Address: 8 EXECUTIVE DR
City: Fairview Heights
State: Illinois
ZIP Code: 62208-1345
Phone: (618) 688-4727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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