IVY VANESSA IRVINE

MISSOULA, MT
NPI1467768705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MT  924)
Enumeration Date2010-08-24
Last Update Date2022-07-21
Business Address
-- IVY VANESSA IRVINE L.C.S.W.
2112 DIXON AVE
MISSOULA, MT 59801-8226
Phone number: 406-546-0082
Mailing Address
-- IVY VANESSA IRVINE L.C.S.W.
PO BOX 1384
LOLO, MT 59847
Phone number: 406-546-0082