Individual
MRS. DEANNA IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.C.
Contact information
Practice address
10045 E MADERO AVE, MESA, AZ 85209-1399
(480) 984-8947
Mailing address
10045 E MADERO AVE, MESA, AZ 85209-1399
(480) 984-8947
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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