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1912294091
MICHELLE D IVY
CHICAGO, IL
NPI
1912294091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2011-07-08
Last Update Date
2011-07-08
Business Address
-- MICHELLE D IVY
4119 W HARRISON ST
CHICAGO, IL 60624-3549
Phone number: 708-307-2191
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Mailing Address
-- MICHELLE D IVY
4119 W HARRISON ST
CHICAGO, IL 60624-3549
Phone number: 708-307-2191
Copy
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