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Individual

RUBY IVORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLBSW, QMHP, QIDP

Contact information

Practice address
G3169 BEECHER RD, FLINT, MI 48532-3611
(810) 237-0799
(810) 237-0805
Mailing address
G3169 BEECHER RD, FLINT, MI 48532-3611
(810) 237-0799
(810) 237-0805

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802089788
MI

Other

Enumeration date
01/10/2018
Last updated
01/10/2018
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