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Antwanisha
Antwanisha
Ivery
Registered clinical social worke...
Clinical
Miami,
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Florida Board of Medicine
Board Name
BOARD OF CSW/MFT/MHC
Full name
Antwanisha Ivery
Job Title
Registered Clinical Social Worker Intern
License Number
ISW19749
License Status
Clear/Active
License Issue Date
30/11/2023
License Expiry Date
29/11/2028
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
Antwanisha Ivery
Job Title
Registered Clinical Social Worker Intern
Location
Miami, FL, USA
LIC ID
21509
Current License Expiration Date
29/11/2028
Original Date
30/11/2023
Professional Rank Code
ISW
Effective Date
30/11/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
MIAMI-DADE
Practice Location Address Line 1
811 NW 101st ST
Practice Location Address City
MIAMI
Practice Location Address State
FL
Practice Location Address Zipcode
33150
Prescribing Indicator
N
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