Individual
CAROLANNE LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12101 DUNLEAF ARC WAY, NORCROSS, GA 30093-7212
(910) 459-2531
Mailing address
12101 DUNLEAF ARC WAY, NORCROSS, GA 30093-7212
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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