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Samantha I Ivey

Peer Specialist in Palmer, AK. Individual provider (NPI-1).

NPI number1023831237
StatusActive
Last updated in NPPESNov 5, 2024

Details

NPI
1023831237
Entity type
Individual (NPI-1)
Name
Samantha I Ivey
Sex
Female
Sole proprietor
No
Enumeration date
Nov 5, 2024
Certification date
Nov 5, 2024
Last updated
Nov 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

7335 E Palmer Wasilla Hwy
Palmer, AK 99645-7710

Phone 907-745-6200 · Fax 907-745-6211

Mailing address

Po Box 876646
Wasilla, AK 99687-6646

Phone 907-745-6200 · Fax 907-745-6211

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