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1851640080
LAKEISHA DENISE IVY
TUPELO, MS
NPI
1851640080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-09-04
Last Update Date
2012-09-04
Business Address
-- LAKEISHA DENISE IVY M.Ed.
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-844-1717
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Mailing Address
-- LAKEISHA DENISE IVY M.Ed.
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-844-1717
Copy
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