Individual
IVY ROSE MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
167 N ADAMS ST, EUGENE, OR 97402-4203
(512) 767-0685
Mailing address
167 N ADAMS ST, EUGENE, OR 97402-4203
(512) 767-0685
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12531458-3501
UT
1041C0700X
Clinical Social Worker
42293
TX
1041C0700X
Clinical Social Worker
Primary
L15930
OR
Other
Enumeration date
03/12/2009
Last updated
04/08/2025
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