Individual
TERQUESE IVORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CMHP, QMHP, QUDP
Contact information
Practice address
1040 W BRISTOL RD, FLINT, MI 48507-5516
(810) 424-6027
Mailing address
2712 GOLFSIDE LN, FLINT, MI 48504-4518
(810) 516-7553
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
06/21/2024
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