Individual
MRS. MONIQUE IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
251 WASHINGTON AVENUE EXT, ALBANY, NY 12205-5504
(518) 456-4466
(518) 456-4536
Mailing address
251 WASHINGTON AVENUE EXT, ALBANY, NY 12205-5504
(518) 456-4466
(518) 456-4536
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
076854
NY
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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