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1467768705
IVY VANESSA IRVINE
MISSOULA, MT
NPI
1467768705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT 924)
Enumeration Date
2010-08-24
Last Update Date
2022-07-21
Business Address
-- IVY VANESSA IRVINE L.C.S.W.
2112 DIXON AVE
MISSOULA, MT 59801-8226
Phone number: 406-546-0082
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Mailing Address
-- IVY VANESSA IRVINE L.C.S.W.
PO BOX 1384
LOLO, MT 59847
Phone number: 406-546-0082
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