Individual
ANNA PATRICIA LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 E NICKERSON AVE, BENTON HARBOR, MI 49022-2469
(269) 983-5833
Mailing address
1651 E NICKERSON AVE, BENTON HARBOR, MI 49022-2469
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005769
MI
Other
Enumeration date
02/12/2018
Last updated
01/01/2020
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