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ALPHONSO IVY, PLPC

PLPC

Counselor

NPI: 1316392061Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

2016012675(MO)

Contact & Hours

Address
1323 SULLIVAN AVE
SAINT LOUIS, MO 63107

Quick Facts

NPI
1316392061
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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