Individual
MS. MADISON LEIGH IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2808 NW 17TH ST, OKLAHOMA CITY, OK 73107-3931
(806) 640-4779
Mailing address
2808 NW 17TH ST, OKLAHOMA CITY, OK 73107-3931
(806) 640-4779
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8217
OK
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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