IVY PETRA, LCSW, LCAC
Social Work at Oakland Ave, Elkhart, IN

License number
Indiana 87001243A
Category
Social Work
Type
Addiction (Substance Use Disorder)
License number
Indiana 34006676A
Category
Social Work
Type
Clinical
Address
Address 2
2600 Oakland Ave, Elkhart, IN 46517
PO Box 809, Goshen, IN 46527
Phone
(574) 533-1234
(574) 537-2652 (Fax)
National Provider ID: 1538592704
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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