Individual
MR. ROBERT C. LIVESAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMF
Contact information
Practice address
58990 E 290 RD, GROVE, OK 74344-7712
(918) 786-8537
(918) 787-4333
Mailing address
58990 E 290 RD, GROVE, OK 74344-7712
(918) 786-8537
(918) 787-4333
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
800
OK
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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