Individual
IVY LITTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1632 MISSOURI AVE, CARTHAGE, MO 64836-3059
(417) 358-7728
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7579
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017004721
MO
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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