Individual
NANCY IVESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7419 N NOFFKE DR, CALEDONIA, MI 49316-8819
(616) 891-7652
Mailing address
7419 N NOFFKE DR, CALEDONIA, MI 49316-8819
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401004027
MI
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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