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)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