Individual
MANDY ROCHELLE IRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
9532 WYNLAKES PL, MONTGOMERY, AL 36117-8515
(334) 270-3181
(334) 270-5805
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5672C
AL
Other
Enumeration date
03/24/2021
Last updated
03/19/2024
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