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1215925706
JERREL EDWARD IVEY
MONTGOMERY, AL
NPI
1215925706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AL LPC #1147)
Enumeration Date
2005-10-10
Last Update Date
2007-07-08
Business Address
-- JERREL EDWARD IVEY LPC
6324 WOODMERE BLVD
MONTGOMERY, AL 36117-2537
Phone number: 334-272-3889
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Mailing Address
-- JERREL EDWARD IVEY LPC
PO BOX 230310
MONTGOMERY, AL 36123-0310
Phone number: 334-272-3889
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