HOLLY IVIE

PHOENIX, OR
NPI1851934533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-10-24
Last Update Date2019-10-24
Business Address
HOLLY IVIE
149 S MAIN ST
PHOENIX, OR 97535-6631
Phone number: 541-535-4133
Mailing Address
HOLLY IVIE
1840 KIMBERLY DR
KLAMATH FALLS, OR 97603-5332
Phone number: 541-851-1857
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