Individual
MRS. IVY ELIZABETH CRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 WHITNEY AVE, BUILDING #4, GRETNA, LA 70056-5011
(504) 347-1120
Mailing address
1717 PENISTON ST, NEW ORLEANS, LA 70115-4630
(304) 532-1820
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11881
LA
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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