Bledsoe, Ivette Lopez

Bledsoe, Ivette Lopez is an sole proprietor health care provider with primary practice located at 1360 Caduceus Way Bldg 400 Suite 102, Watkinsville GA 30677-7300. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bledsoe, Ivette Lopez can be contacted via phone (706) 286-8442.

Contact Information

Primary practice address
1360 Caduceus Way Bldg 400 Suite 102 Watkinsville GA 30677-7300
Phone: (706) 286-8442
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 627 Colorado
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005801 Georgia

Profile Details

NPI number 1215033212
LBN Legal business name Bledsoe, Ivette Lopez
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Sep 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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