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Individual

PATSY G IVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
304 ARLINGTON DR, VIDALIA, GA 30474-8935
(912) 537-1414
Mailing address
PO BOX 736, VIDALIA, GA 30475-0736
(912) 245-5096

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/19/2021
Last updated
07/19/2021
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