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1730463860
ILATISHA IVEY
BROOKLYN, NY
NPI
1730463860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-10-07
Last Update Date
2011-10-07
Business Address
Ms. ILATISHA IVEY
5220 4TH AVE
BROOKLYN, NY 11220-1812
Phone number: 718-439-0077
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Mailing Address
Ms. ILATISHA IVEY
5220 4TH AVE
BROOKLYN, NY 11220-1812
Phone number: 718-439-0077
Copy
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