Ivy Gilmore
Social Worker, Clinical in Washington, DC. Individual provider (NPI-1).
NPI number1114596202
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1114596202
- Entity type
- Individual (NPI-1)
- Name
- Ms. Ivy Gilmore
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2021
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 19419 | MD | Yes |
Practice location
2839 31st Pl NeWashington, DC 20018-1603
Phone 202-751-8579
Mailing address
2839 31st Pl NeWashington, DC 20018-1603
Phone 202-751-8579
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