Individual
DANIELLE RENEE IVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, U/S
Contact information
Practice address
202639 E COUNTY ROAD 42, WOODWARD, OK 73801-5442
(580) 254-5322
(580) 254-5335
Mailing address
202639 E COUNTY ROAD 42, WOODWARD, OK 73801-5442
(580) 254-5322
(580) 254-5335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
06/11/2014
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