Individual
JAMIE L LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 RUSSELL ST, NEW BRITAIN, CT 06052-1313
(860) 223-8885
Mailing address
51 W ELM ST, DEEP RIVER, CT 06417-1614
(860) 304-2721
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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