Individual
MRS. LISA MICHELLE IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Contact information
Practice address
900 N CHESTNUT ST, LUMBERTON, NC 28358-4854
(910) 733-7858
Mailing address
2505 N MCMILLAN AVE, LUMBERTON, NC 28358-3547
(910) 733-7858
(910) 737-4083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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