Individual
MS. IVORY HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
(404) 378-2394
Mailing address
15321 SKYLINE LN NE, ATLANTA, GA 30345-7913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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