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Individual

AURIANNA N LIVELY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
655 7TH ST BLDG 700, ROBINS AFB, GA 31098-2227
(478) 327-8487
Mailing address
655 7TH ST BLDG 700A, ROBINS AFB, GA 31098-2227
(478) 222-8228

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW005477
GA
1041C0700X
Clinical Social Worker
Primary
5477
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CSW005477
LICENSED CLINICAL SOCIAL WORKER
GA
Enumeration date
05/26/2017
Last updated
10/23/2025
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