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1104960285
STANDRA NEWBURN IVEY
LOS ANGELES, CA
NPI
1104960285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
Ms. STANDRA NEWBURN IVEY
1055 W 84TH PL
LOS ANGELES, CA 90044-3454
Phone number: 562-256-4541
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Mailing Address
Ms. STANDRA NEWBURN IVEY
1055 W 84TH PL
LOS ANGELES, CA 90044-3454
Phone number: 562-256-4541
Copy
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