THERESA M IVEY LLC

LAKE CHARLES, LA
NPI1285137968
Entity TypeOrganization
Authorized ContactTHERESA IVEY
Owner
337-377-3011
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: LA  11372)
Enumeration Date2018-03-09
Last Update Date2018-03-09
Business Address
THERESA M IVEY LLC
133 JEFFERSON DR
LAKE CHARLES, LA 70605-5713
Phone number: 337-377-3011
Mailing Address
THERESA M IVEY LLC
133 JEFFERSON DR
LAKE CHARLES, LA 70605-5713
Phone number: 337-377-3011
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