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Individual

MISS STEPHANIE NICOLE LIVERGOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
5577 PEPPERIDGE RD, NEW FRANKLIN, OH 44216-9757
(330) 417-5410

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
08/26/2013
Last updated
08/26/2013
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