Individual
IVY RENEE HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29623 NORTHWESTERN HWY STE 5, SOUTHFIELD, MI 48034-1076
(248) 514-7254
Mailing address
21650 W 11 MILE RD STE 107, SOUTHFIELD, MI 48076-3715
(248) 514-7254
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401001847
MI
Other
Enumeration date
11/03/2017
Last updated
03/02/2020
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