Individual
MR. CHARLES LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1404 E CHURCH, WARREN, AR 71671
(870) 367-2461
(870) 460-6133
Mailing address
790 ROBERTS DR, MONTICELLO, AR 71655-5723
(870) 367-2461
(870) 460-6133
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4749-M
AR
Other
Enumeration date
06/24/2005
Last updated
06/09/2021
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