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Organization

VIVIAN IRETON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VIVIAN L IRETON LCSW (THERAPIST)
(812) 449-9355
Entity
Organization

Contact information

Practice address
5048 S PLAZA DR, STE B, NEWBURGH, IN 47630-3069
(812) 449-9355
(812) 607-9316
Mailing address
5048 S PLAZA DR, STE B, NEWBURGH, IN 47630-3069
(812) 449-9355
(812) 607-9316

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
34006251A
IN

Other

Enumeration date
06/13/2016
Last updated
06/13/2016
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