Individual
IVY WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 NE 24TH TER, GAINESVILLE, FL 32641-4849
(352) 373-1326
Mailing address
1015 NE 24TH TER, GAINESVILLE, FL 32641-4849
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
FL
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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