Individual
ANGELIJICA IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8322 MARLBOROUGH DR, JONESBORO, GA 30238-2943
(404) 789-1805
Mailing address
8322 MARLBOROUGH DR, JONESBORO, GA 30238-2943
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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