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1174165922
JUSTINE MARIE IVY
BOTHELL, WA
NPI
1174165922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW60334018)
Enumeration Date
2019-10-14
Last Update Date
2019-10-14
Business Address
JUSTINE MARIE IVY MSW
2641 242ND PL SE
BOTHELL, WA 98021-6508
Phone number: 206-229-4056
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Mailing Address
JUSTINE MARIE IVY MSW
2641 242ND PL SE
BOTHELL, WA 98021-6508
Phone number: 206-229-4056
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