Individual
DONNA LYNN IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4680 MONICA ST, WILDWOOD, FL 32163-0516
(630) 272-0546
Mailing address
P O BOX 1632, WILDWOOD, FL 34785
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149000854
IL
1041C0700X
Clinical Social Worker
Primary
14900854
IL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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