CHUCK IVY

ROSWELL, NM
NPI1134447386
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  C-10013)
Enumeration Date2010-05-12
Last Update Date2021-03-05
Business Address
CHUCK IVY LCSW
1407 HIGHLAND RD
ROSWELL, NM 88201-2146
Phone number: 575-208-2918
Mailing Address
CHUCK IVY LCSW
1407 HIGHLAND RD
ROSWELL, NM 88201-2146
Phone number: 575-208-2918
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