Individual
IRENE D IVANAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
25650 OUTER DR, LINCOLN PARK, MI 48146-2096
(313) 383-1897
Mailing address
25650 OUTER DR, LINCOLN PARK, MI 48146-2096
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801109860
MI
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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