Individual
ANNALISA NICOLE IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
825 MONROE ST STE 1, EUGENE, OR 97402-5176
(541) 729-1972
Mailing address
3685 COLONY OAKS DR, EUGENE, OR 97405-6257
(541) 729-1972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3470
OR
Other
Enumeration date
01/18/2007
Last updated
10/13/2022
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