Individual
BRIDGET MARTIN IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2080 INGLESIDE AVE, MACON, GA 31204-2028
(478) 234-2126
Mailing address
248 IVEY DR SW, MILLEDGEVILLE, GA 31061-3760
(478) 234-2126
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW012069
GA
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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