Individual
CLAIRE IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1638 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4016
(706) 841-0500
Mailing address
1907 IVY ST, CHATTANOOGA, TN 37404-2627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW010419
GA
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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