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Individual
MRS. SARAH JO LIVELY
Active
Individual
MRS. SARAH JO LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ERYT-500, MSHWC
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
NULL
174400000X
Specialist
Primary
—
NULL
174H00000X
Health Educator
—
NULL
225800000X
Recreation Therapist
—
NULL
261QR0400X
Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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