ALPHONSO IVY

SAINT LOUIS, MO
NPI1316392061
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: MO  2016012675)
Enumeration Date2016-05-02
Last Update Date2016-05-02
Business Address
-- ALPHONSO IVY PLPC
1323 SULLIVAN AVE
SAINT LOUIS, MO 63107-3919
Phone number: 314-503-1746
Mailing Address
-- ALPHONSO IVY PLPC
1323 SULLIVAN AVE
SAINT LOUIS, MO 63107-3919
Phone number: 314-503-1746
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