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1902463292
SHIRLEY DIANNE IVIE
ANCHORAGE, AK
NPI
1902463292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-22
Last Update Date
2019-05-22
Business Address
SHIRLEY DIANNE IVIE
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508-2874
Phone number: 907-729-5020
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Mailing Address
SHIRLEY DIANNE IVIE
7033 E TUDOR RD
ANCHORAGE, AK 99507-1262
Phone number:
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