Individual
IVY VILLANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 E BROADVIEW AVE, WASILLA, AK 99654-8302
(720) 252-3018
Mailing address
PO BOX 875063, WASILLA, AK 99687-5063
(720) 252-3018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
189343
AK
1041C0700X
Clinical Social Worker
Primary
25606
MN
Other
Enumeration date
09/23/2019
Last updated
08/30/2022
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