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Individual

PAMELA LIVINGSTON-HARDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MLSW

Contact information

Practice address
675 MANSELL RD STE 115, ROSWELL, GA 30076-4877
(248) 840-1919
(248) 548-4944
Mailing address
280 N OLD WOODWARD AVE STE 100, BIRMINGHAM, MI 48009-5391
(248) 840-1919

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6801017709
MI
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8008987980
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
03/06/2007
Last updated
10/14/2025
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