Female

Ms. Ivette L. Bledsoe LCSW

Clinical Social Worker in Watkinsville, GA(View on Map)

Full Name

Ms. Ivette Lopez Bledsoe LCSW

NPI Number

1215033212

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/16/2006

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Colorado
Georgia

License Number

627
CSW005801

Contact
Information

Purpose

Mailing
Location

Address

1341 ARIZONA BND
1360 CADUCEUS WAY BLDG 400

City

Watkinsville
Watkinsville

State

GA
GA

Postal Code

30677-7774
30677-7300

Country

US
US

Telephone Number

(678) 726-0211
(706) 286-8442

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/02/2016

Provider Address

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