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1265802698
MICHAEL B. IVY
SACO, ME
NPI
1265802698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC16866)
Enumeration Date
2015-09-28
Last Update Date
2022-04-28
Business Address
MICHAEL B. IVY LCSW
110 MAIN ST STE 1508
SACO, ME 04072-3517
Phone number: 207-807-9110
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Mailing Address
MICHAEL B. IVY LCSW
50 PINE COUNTRY DR
BUXTON, ME 04093-6447
Phone number: 207-807-9110
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