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Individual
KOURTNIE J. MICHELLE IVERSON
Active
Individual
KOURTNIE J. MICHELLE IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2102873
OH
1041C0700X
Clinical Social Worker
S1500695
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283825
—
OH
Enumeration date
09/16/2016
Last updated
04/11/2022
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