Individual
MS. SHAYLYNNKINNE YVONNA IVORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
702 RUSSELL AVE STE 100, GAITHERSBURG, MD 20877-2605
(301) 330-0006
Mailing address
4123 POSTGATE TER APT 301, SILVER SPRING, MD 20906-6023
(313) 544-8193
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26981
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMSW-26981
STATE BOARD OF SOCIAL WORK LICENSE
MD
Enumeration date
04/01/2021
Last updated
04/01/2021
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