Lorraine Michelle Ivey

NPI #1952790099 in Washington, Utah

Provider Information

NPI Number
1952790099
Entity Type
Individual
Name
Lorraine Michelle Ivey
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date
Jan 13, 2015
Last Updated
Jan 13, 2015

Practice Location

Address
115 N 200 E
State
Utah
ZIP Code
84780-1642
Phone
(435) 669-8981

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, ChildrenSubstance Abuse Treatment, Children

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