Individual
DONALD J IVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
100 LEDGEWOOD PL, SUITE 202, ROCKLAND, MA 02370-1075
(781) 871-6550
Mailing address
27 GREENFIELD LN, SCITUATE, MA 02066-4521
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112260
MA
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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