ANDRE DORIAN IVY

DURHAM, NC
NPI1497989735
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  P005032)
Enumeration Date2009-05-14
Last Update Date2009-05-14
Business Address
-- ANDRE DORIAN IVY P-LCSW
508 FULTON ST
DURHAM, NC 27705-3875
Phone number: 919-286-0411
Mailing Address
-- ANDRE DORIAN IVY P-LCSW
508 FULTON ST
DURHAM, NC 27705-3875
Phone number: 919-286-0411
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