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Individual

CAMILLE ANNE LIVINGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRC

Contact information

Practice address
191 SWEET HOLLOW RD, OLD BETHPAGE, NY 11804-1342
(516) 870-1600
Mailing address
191 SWEET HOLLOW RD, OLD BETHPAGE, NY 11804-1342
(516) 870-1600

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/22/2018
Last updated
05/22/2018
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