MAVIS D IVY

DUNWOODY, GA
NPI1164659421
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  001672)
Enumeration Date2009-06-14
Last Update Date2009-06-14
Business Address
Mrs. MAVIS D IVY M.A., CCC-SLP
5338 BRIARLEIGH CLOSE
DUNWOODY, GA 30338-7006
Phone number: 678-592-0052
Mailing Address
Mrs. MAVIS D IVY M.A., CCC-SLP
5338 BRIARLEIGH CLOSE
DUNWOODY, GA 30338-7006
Phone number: 678-592-0052
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