Individual
JENNIFER L IVORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBIS
Contact information
Practice address
777 N CRUSEY STREET SUITE B101, WASILLA, AK 99654
(907) 746-3445
(907) 746-3439
Mailing address
777 N CRUSEY STREET SUITE B101, WASILLA, AK 99654
(907) 746-3445
(907) 746-3439
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/16/2015
Last updated
10/20/2021
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