Individual
MS. AMY MCIVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
697 WHITESTONE DR APT B, LYNCHBURG, VA 24502-4750
(434) 401-7941
Mailing address
697 WHITESTONE DR APT B, LYNCHBURG, VA 24502-4750
(434) 401-7941
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
02/20/2019
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