Individual
MS. ERICA LYNN IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
70 W. SOUTH ST, SPRINGBORO, OH 45066
(937) 557-1550
Mailing address
1810 DIX RD, MIDDLETOWN, OH 45042-2816
(254) 630-0488
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1701676
OH
1041C0700X
Clinical Social Worker
Primary
I.2203769
OH
Other
Enumeration date
11/02/2020
Last updated
09/15/2022
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