Individual
ANDREA LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 FARMINGTON LAKES DR, OSWEGO, IL 60543-5109
(815) 469-1500
Mailing address
1211 FARMINGTON LAKES DR, OSWEGO, IL 60543-5109
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
07/04/2022
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