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Individual

IVORY DREWERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3000 PARK PLACE DR STE 108, WASHINGTON, PA 15301-2068
(724) 300-8028
Mailing address
3000 PARK PLACE DR STE 108, WASHINGTON, PA 15301-2068
(724) 300-8028

Taxonomy

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

Other

Enumeration date
01/02/2025
Last updated
01/02/2025
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