Individual
ERICA IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1699 LANCE DR, LAWRENCEBURG, TN 38464-6382
(931) 209-6072
Mailing address
1699 LANCE DR, LAWRENCEBURG, TN 38464-6382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9328
TN
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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