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1053631499
LAURA ELIZABETH IVY
EUGENE, OR
NPI
1053631499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6344)
Enumeration Date
2010-06-08
Last Update Date
2016-05-17
Business Address
Ms. LAURA ELIZABETH IVY LCSW
1258 HIGH ST
EUGENE, OR 97401-3238
Phone number: 541-342-8437
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Mailing Address
Ms. LAURA ELIZABETH IVY LCSW
3457 MAHLON AVE
EUGENE, OR 97401-5861
Phone number: 541-206-8348
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