Individual
IVY JO ZAMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6737 W WASHINGTON ST STE 2275, WEST ALLIS, WI 53214-5666
(414) 246-2300
Mailing address
6737 W WASHINGTON ST STE 2275, WEST ALLIS, WI 53214-5666
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6871
WI
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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