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Organization
LIVINDI MEDICAL GROUP ILLINOIS PLLC
Active
Organization
LIVINDI MEDICAL GROUP ILLINOIS PLLC
Active
Other names
Livindi Group Massachusetts
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M WATKINS (AO)
(508) 416-6026
Entity
Organization
Contact information
Practice address
526 BOSTON POST RD STE 2, WAYLAND, MA 01778-1840
(508) 416-6030
Mailing address
PO BOX 70, WAYLAND, MA 01778-0070
(508) 416-6030
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/11/2023
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