Individual
MRS. KELSEY IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., C.A.S.
Contact information
Practice address
5207 ROLAND AVE, BALTIMORE, MD 21210-1995
(410) 396-6420
Mailing address
5207 ROLAND AVE, BALTIMORE, MD 21210-1995
(410) 396-6420
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
303541
MD
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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