Individual
FELTON IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 HENRYS RD, THOMASVILLE, GA 31757-0161
(229) 200-5645
Mailing address
104 HENRYS RD, THOMASVILLE, GA 31757-0161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW008680
GA
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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