IVY PRIDGEN

BALTIMORE, MD
NPI1548670870
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  SC1867)
Enumeration Date2014-05-08
Last Update Date2014-05-08
Business Address
-- IVY PRIDGEN
1111 WASHINGTON BLVD
BALTIMORE, MD 21230-1824
Phone number: 410-467-6040
Mailing Address
-- IVY PRIDGEN
PO BOX 33109
BALTIMORE, MD 21218-0401
Phone number: 410-467-6040
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