Individual
IVY N MCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1280 CENTRAL DR, SOUTHERN PINES, NC 28387-2102
(910) 692-3323
Mailing address
1280 CENTRAL DR, SOUTHERN PINES, NC 28387-2102
(910) 692-3323
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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