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Organization
IVYROSE LLC
Active
Organization
IVYROSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHECONIA ANTIONETTE HARRIS (OWNER/THERAPIST)
(252) 714-6329
Entity
Organization
Contact information
Practice address
2628 MONK RD., GREENVILLE, NC 27834
(252) 714-6329
Mailing address
PO BOX 804, BELLARTHUR, NC 27811-0804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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