Ivory Tubbs

NPI #1649783812 in Bastrop, Louisiana

Provider Information

NPI Number: 1649783812
Entity Type: Individual
Name: Ivory Tubbs
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 9, 2017
Last Updated: Nov 9, 2017

Practice Location

Address: 644 E JEFFERSON AVE
City: Bastrop
State: Louisiana
ZIP Code: 71220-4619
Phone: (318) 239-3862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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