Tiara Ivy
Tiara Ivy is a Social Worker in Champaign, Illinois. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
1801 Fox DrChampaign, IL 61820-7236
Phone: (217) 398-8080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1629529649 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 14, 2016 |
| Last updated in NPPES | October 14, 2016 |
| Mailing address | 401 W Springfield Ave, Champaign, IL 61820-4716 |
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