TIARA IVY
Social Worker
Active
Individual
NPI: 1629529649
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | Yes | - |
Frequently Asked Questions
NPI 1629529649 is the National Provider Identifier for TIARA IVY, a Social Worker provider located in Champaign, IL. This NPI was enumerated on October 14, 2016.
TIARA IVY practices at 1801 FOX DR, Champaign, IL 61820.
Quick Facts
- NPI
- 1629529649
- Type
- Individual
- Enumerated
- Oct 14, 2016
- Last Updated
- Oct 14, 2016
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