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Individual
SAMUEL ANTHONY IVKOVICH
Active
Individual
SAMUEL ANTHONY IVKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1902033
OH
Other
Enumeration date
07/15/2019
Last updated
02/25/2020
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