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Individual

VIRGINIA G LIVINGSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
7646 N TEUTONIA AVE, BROWN DEER, WI 53209-1736
(414) 979-2155
Mailing address
13325 W BURLEIGH RD, APT 4, BROOKFIELD, WI 53005-3070

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5790-125
WI

Other

Enumeration date
10/19/2015
Last updated
03/12/2016
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